管状胃在食管癌根治术中的应用及意义  

Application and significance of tubular stomach in radical sugery for esophageal carcinoma

作　　者：周天骏[1] 敖翔[1] 李钰泉[1] 郭晶晶[1] 彭静[1] 张惠忠[1] 

机构地区：[1]中山大学孙逸仙纪念医院心胸外科,广州510120

出　　处：《中华实验外科杂志》2013年第5期1057-1059,共3页Chinese Journal of Experimental Surgery

基　　金：基金项目：广东省自然科学基金资助项目（S2011010006056）

摘　　要：目的比较两种消化道重建方式对于食管癌患者围手术期及术后生活质量的影响。方法对177例行食管癌根治术并术后存活1年以上的患者，根据术中是否行管状胃成形术分为管胃组和全胃组。观察记录两组患者围手术期各项指标，以问卷形式比较患者术后1年的生活质量。结果两组在手术时间、术后住院时间、胸腔及胃肠减压引流量的差异无统计学意义（P〉0．05），管胃组在反流性食管炎发生率方面显著低于全胃组（P〈0．05），在术后生活质量测评总分及满意度方面均高于全胃组（P〈0．05）。结论管状胃成形术适用于食管癌手术消化道重建。Objective To investigate the quality of life （QoL） after oesophagectomy for cancer by comparing the method of reconstruction （ gastric tube vs. whole stomach）. Methods A retrospectively study was carried out on 177 patients who underwent oesophagectomy for cancer and postoperative survival time was ≥ 1 year. The patients were divided into gastric tube （GT） group and whole stomach （WS） group. The clinical data were collected. A questionnaire which reflected the postoperative QoL by 20 indicators constitute, was administered at I year after surgery. Results There was no statistically significant difference in operative time, postoperative hospital stay, postoperative thoracic drainage and gastrointestinal decompression drainage between two groups （P 〉 0. 05）. The incidence of anastomotic fistula and reflux esophagitis in GT group was significantly lower than in WS group （ P 〈 0. 05 ）. The QoL scores in GT group were significantly higher than in WS group （P 〈 0. 05 ）. Conclusion Gastric tube is worth popularizing and applying.

关 键 词：食管癌 管状胃 生活质量 

分 类 号：R735.1[医药卫生—肿瘤]