贲门癌和食管癌术后近期死亡的高危因素分析及比较  

The analysis and comparison of high-risk factor in recent death after the cardia cancer and esophageal cancer surgery

作　　者：刘彦中[1] 韩文周[1] 胡艳霞[1] 

机构地区：[1]河南第一荣康医院胸外科,河南新乡453003

出　　处：《中国民康医学》2010年第19期2460-2461,2463,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨贲门癌和食管癌术后近期死亡的高危因素及防治措施,并加以比较。方法:回顾性收集20年间在我科开胸治疗贲门癌、食管癌患者3 358例,并将其中87例近期死亡的患者分为贲门癌组(7例)和食管癌组(80)例,并对两组患者的临床资料进行对比分析。结果:食管癌组术后近期死亡率高于贲门癌组(P<0.05)。食管癌组近期死于术后心肺并发症的比例高于贲门癌组(P<0.05)。而贲门癌近期死于术后吻合口瘘的比例明显高于食管癌组。(P<0.01)。结论:术后心肺并发症是食管癌术后近期死亡的高危因素,吻合口瘘是贲门癌术后的主要死亡原因,控制上述因素可以降低术后近期死亡率。Objective：To discuss the high-risk factor and prevention measures in recent death after the cardia cancer and esophageal cancer surgery,and to compare this data.Methods：My branch retrospective collected 3358 patients of the cardia cancer and esophageal cancer by thoracotomy treatment for nearly 20 years.87 patients in recent death were divided into the cardia cancer group（7 cases） and esophageal cancer group（80 cases）.We comparative analyzed the clinical material of two groups.Results： The short-term mortality of the esophageal cancer group was higher than that of the cardia cancer group after the surgery（P〈0.05）.The proportion of recent died in cardiopulmonary complication after surgery in the esophageal cancer group was higher than that of the cardia cancer group（P〈0.05）.The proportion of recent died in the heal fistula after surgery in the cardia cancer group was higher than that of the esophageal cancer group（P〈0.01）.Conclusions： The cardiopulmonary complication was the high-risk factor of recent death after surgery in the esophageal cancer.The heal fistula was main cause of death after surgery in the cardia cancer.After controlling the above factor,the short-term mortality may be reduced after the surgery.

关 键 词：食管肿瘤 心肺并发症 死亡率 

分 类 号：R735.1[医药卫生—肿瘤] R735.2[医药卫生—临床医学]