管状胃代食管与传统食管癌手术后肺部并发症的对比研究  

Clinical comparative study of pulmonary postoperative complications between the esophageal gastric tube and the traditional surgery in the treatment of esophageal cancer

作　　者：廖泽飞[1] 马良赟[1] 林勇龙[1] 王耿杰[1] 张乐[1] 赵中伟[1] 

机构地区：[1]解放军第180医院胸外科,福建泉州362000

出　　处：《临床肺科杂志》2013年第2期201-202,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨管状胃代食管与传统食管癌手术后肺部并发症的比较研究。方法按手术方式将228例食管癌患者分为管状胃(A)组92例,和传统手术(B)组136例。临床资料,其中男137例,女91例;年龄31～72岁,平均年龄62.36岁,手术均采用改良Ivor-Lewis术式,统计两组术后各种肺部并发症的发生率。结果 228例食管癌患者中管状胃组合并肺部并发症18例,传统手术组术后合并肺部并发症36例。结论管状胃代食管可明显减轻及减少食管癌术后肺部并发症。Objective To explore the postoperative pulmonary complications of the esophageal gastric tube and the traditional surgery in the treatment of esophageal cancer and the advantages of the esophageal gastric tube. Methods According to the operation methods, 218 patients with esophageal cancer were divided into the gastric tube group （Group A, n = 92 ） and the traditional surgery group （Group B, n = 136）. 132 patients were male and the rest 86 were females. Their age was from 31-year old to 72-year old, and the average age was 62. 36-years old. All surgeries adopted the modified Ivor-Lewis procedure. The incidence of the postoperative pulmonary complications between the two groups was analyzed. Results 18 cases of the postoperative pulmonary complications occurred in the group A, while 36 cases in the group B. Conclusion The esophageal gastric tube in the treatment of esophageal cancer can reduce and lessen the postoperative pulmonary complications.

关 键 词：食管癌 管状胃 肺部并发症 

分 类 号：R735.1[医药卫生—肿瘤]