管状胃技术在26例食管、贲门癌根治术中的应用分析  

Clinical application research of gastric tube in radical operation for 26 patients with esophageal or cardial carcinoma

作　　者：韩玉龙[1] 

机构地区：[1]河南省商丘市第一人民医院胸外科,476100

出　　处：《中国医师进修杂志》2011年第8期21-23,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 评价管状胃技术在食管、贲门癌根治术中的临床应用效果.方法 选取2007年1月至2010年6月收治的食管、贲门癌患者50例,按采取的手术方法不同分为管状胃组（26例）和胸腔胃组（24例）.管状胃组中食管癌21例,贲门癌5例;术中左颈部吻合1例,主动脉弓上吻合11例,主动脉弓下吻合9例,贲门癌根治5例.胸腔胃组食管癌20例,贲门癌4例;术中左颈部吻合1例,主动脉弓上吻合11例,主动脉弓下吻合8例,贲门癌根治4例.观察两组患者手术后吻合口瘘发生率、手术时间、术后住院时间等临床指标.结果 两组患者均顺利完成手术,两组均无吻合口瘘发生.胸腔胃组术后发生肺部感染气管切开3例,死亡1例.管状胃组与胸腔胃组手术时间分别为（175±11）、（182±6）min,术后住院时间分别为（16.8±9.8）、（17.0±11.3）d,差异均无统计学意义（t=1.556,P=0.072;t=1.495,P=0.068）.结论 管状胃在食管癌手术中并发症发生率较低,不增加手术时间和住院时间,可改善患者的生活质量,具有较好的临床应用价值.Objective To evaluate the clinical application of gastric tube in radical operation for patients with esophageal or cardial carcinoma. Methods From January 2007 to June 2010,50 patients with esophageal or cardial carcinoma were enrolled. Based on surgical methods, they were divided into the gastric tube group （26 cases） and the traditional way group （24 cases）. Among the gastric tube group, 21 patients had esophageal carcinoma,and the other 5 patients had cardial carcinoma,and 1 patient was treated with anastomosis in the left neck, 11 patients with anastomosis in upper aortic arch,9 patients with anastomosis in lower aortic arch and 5 cardial carcinoma patients underwent radical resection. Among the traditional way group, 20 patients had esophageal carcinoma,and the other 4 patients had cstdial carcinoma, 1 patient wastreated with anastomosis in the left neck, 11 patients with anastomosis in upper aortic arch, 8 patients with anastomosis in lower aortic arch and 4 cardial carcinoma patients underwent radical resection. The rate of anastomotic leakage, operation time, and length of stay in hospital of the two groups were observed. Results All surgeries were successfully performed. There was no anastomotic leakage case in the two groups, while there were 3 cases pulmonary infection and 1 case death in the traditional way group. There was no statistical difference in operation time [（175 ± 11） min vs. （182±6） min, t = 1.556, P = 0.072] and length of stay in hospital [（16.8 ±9.8） d vs.（17.0 ± 11.3） d,t = 1.495,P= 0.068] between the gastric tube group and the traditional way group. Conclusion Gastric tube has good value in clinical application with fewer complications and without prolonging operation and hospitalization time, which can surely ameliorate quality of life.

关 键 词：食管肿瘤 贲门肿瘤 管状胃 

分 类 号：R735.1[医药卫生—肿瘤]