食管癌切除术中胸胃综合征的预防  

The prevention of thoracic-gastro syndrome under esophagectomy

作　　者：苏鹏飞[1] 李伟[1] 段东奎[1] 金哲[1] 

机构地区：[1]河南省南阳市中心医院胸外科,河南南阳473000

出　　处：《中国当代医药》2013年第23期42-43,共2页China Modern Medicine

摘　　要：目的探讨经改良后的食管癌切除术对胸胃综合征的预防。方法选取378例食管癌切除术患者的临床资料,将其随机分为实验组和对照组,其中实验组190例行经改良的食管癌切除术,对照组188例行传统的食管癌切除术,比较分析两组患者术前及术后第1个月进食1h后的肺功能以及胃肠钡餐透视,观察胸胃扩张程度。结果实验组术后1个月胃肠钡餐透视显示无胸胃扩张和移位,而对照组胸胃均有不同程度的扩张或移位。术前两组患者的肺功能比较,差异无统计学意义(P>0.05);术后1个月进食1h后,两组肺功能比较,最大通气量占预计值百分率(MVV%)、肺活量占预计值百分率(VC%)差异有统计学意义(P<0.05)。结论改良后的食管癌切除术明显降低了胸胃综合征的发生率及严重程度,提高了患者术后的生活质量。Objective To observe the effect of modified esophagectomy to the prevention of thoracic-gastro syndrome.Methods 378 patients with esophageal carcinoma were selected and were divided into experimental group and control group,190 cases of the experimental group were given modified esophagectomy,188 cases of the control group were given traditional esophagectomy.Lung function at one hour after eating and the degree of thoracic-gastro expansion by X-ray barium meal examination（X-ray） were measured and compared between the two groups before surgery and one month after surgery.Results The patients in the modified esophagectomy group after surgery had no thoracic-gastro expansion or shifting,while the patients in the traditional esophagectomy group had different degree of thoracic-gastro expansion or shifting.There was no significant difference in lung function between the two groups（P＆gt;0.05）.At one month after surgery,MVV% and VC% of lung function were significantly different between the two groups at one hour after eating（P＆lt;0.05）.Conclusion The modified esophagectomy can reduce the incidence rate and severity of thoracic-gastro syndrome significantly and improve the patient’s quality after surgery.

关 键 词：食管癌 胸胃综合征 预防 

分 类 号：R735.1[医药卫生—肿瘤]