食管拔脱结肠重建食管18例报告  

Report of 18 Patients with Esophageal Carcinoma were Treated with Reconstruction Operation of Detaching Esophague from Cardia and Colon Replace Esophague

作　　者：黄忠荣[1] 

机构地区：[1]江汉油田中心医院,潜江433124

出　　处：《肿瘤防治研究》2000年第4期307-308,共2页Cancer Research on Prevention and Treatment

摘　　要：目的　为探讨食管拔脱结肠重建食管治疗颈、胸段食管癌。方法　经颈腹经路食管内翻拔脱切除结肠重建食管治疗颈胸上段食管癌 18例 ,获得满意疗效 ,全组无 1例手术死亡者 ;手术同时对食管拔脱指征、操作要点及结肠重建食管的可行性进行了讨论。结果　 18例患者中数随访 8年 ,存活期超过 1年者 13例 ,超过 3年者 8例 ,超过 5年者 5例 ,5年生存率为 2 7 8%。结论　食管拔脱结肠重建食管治疗颈、胸上段食管癌损伤小 ,并发症少 ,切除率高 ,延长了患者的生存期。Objective TO study therapy of cervical and thoracic upper esophageal carcinoma using colon to replace esophagus after detaching esophague from cardia.Methods Eighteen patients with cervical and thoracic upper esophageal carcinoma were treated by colon replace ment of esophagus after detaching esophague from cardia.The indication,operating importantpoint and practicability of colon usedto replace esophague during operation were discussed.Results Mean follow up term of all 18 patients was 8 years.The survival rate of more than l year was 72 2%(13/18),more than 3 year swrvival rate was 44 4%(8/18),and more than 5 year swrvival rate was 27 8%(5/18).Conclusion To detach esophague from cardia and treat cervical and thoracic upper esophague with colon replacing esophague can reduce injury and complication,improve rate of resection and prolonged survival of patients.

关 键 词：颈胸上段食管癌 拔脱 结肠重建食管 

分 类 号：R735.105[医药卫生—肿瘤] R655.4[医药卫生—临床医学]