管状胃对食管癌手术后呼吸功能的影响  

Effect of the gastric tube instead of esophagus on respiratory function

作　　者：刘平[1] 王学中[1] 贺洪亮[1] 赵冰[1] 展晖[1] 

机构地区：[1]新乡市中心医院胸瘤一科,河南新乡453000

出　　处：《中国肿瘤外科杂志》2011年第1期32-34,共3页Chinese Journal of Surgical Oncology

摘　　要：目的探讨管状胃在食管癌手术中的应用及其对术后呼吸功能的影响。方法 2008年1月至2009年12月对62例胸中上段食管癌患者行三切口食管切除+管状胃代食管左颈食管胃吻合术(管状胃组),分别于术前1周,术后第1周及第3周检查肺功能。并与同期收治的行常规三切口手术左颈食管胃吻合的64例胸中上段食管癌患者(对照组)进行比较。结果 126例患者手术均成功,无手术死亡。术后吻合口瘘、切口感染等并发症发生率22.5%。术后第1周两组的呼吸功能差别无明显差别(P>0.05),术后第3周管状胃组呼吸功能指标有明显改善,好于对照组,差异有显著性(P<0.05)。结论管状胃代食管术相比传统胃代食管术对患者术后呼吸功能影响更小。Objective To evaluate the effect of the gastric tube instead of esophagus on respiratory function. Methods From January 2008 to Deccmber 2009, 62 patients underwent esophagogastric anastomosis with gastric tube（gastric tube group）, the 64 patients underwent esophagogastric anastomosis with traditional stomach（control group）. All patients＇ respiratory function were detected at 1st week before operation and 1st week, 3rd week after operation. Results All patients were survival without hospital death, Postoperative com- plication rate was 22.5%. The respiratory function showed no difference in 2 group at the 1st week after opera- tion, but there were significant difference at the 3rd week after operation （ P 〈 0.05 ）. Conclusions Esopha- gogastric anastomosis with gastric tube has little effect on respiratory function than with traditional stomach.

关 键 词：食管癌 管状胃 呼吸功能 

分 类 号：R735.1[医药卫生—肿瘤]