经左胸腔和经腹贲门癌手术的临床观察和分析  

The clinical observation and analysis of cardia cancer by left chest and abdominal surgery

作　　者：章健[1] 

机构地区：[1]绍兴文理学院附属医院肿瘤科,浙江绍兴312000

出　　处：《中国现代医学杂志》2014年第1期87-90,共4页China Journal of Modern Medicine

摘　　要：摘要：目的探讨经左胸腔和经腹贲门癌手术临床效果和并发症，为临床手术治疗贵门癌提供客观依据。方法选择该院2006年1月--2011年12月收治贲门癌患者62例，经胸组34例，为观察组，经腹组28例，为对照组。对两组患者手术情况、并发症进行评估。结果观察组平均清扫淋巴结数量为（14．18±3．52），多于对照组（10．05±2．96），差异有显著性（P〈O．05）；观察组住院时间为（13．98±3．52）d，多于对照组（9．74±2．86）d，差异有显著性（P〈0．05）；两组切缘癌残留率和手术切除率比较，差异无显著性（P〉O．05）。观察组肺部并发症为17．65％（6／34），高于对照组7．14％（2／28），差异有显著性（P〈0．05），对照组腹腔感染10．71％（3／28），高于观察组，差异有显著性（P〈0．05），两组吻合口瘘和术后1年生存率比较，差异无显著性（P〉O．05）。结论两种术式对贲门癌均可有效的治疗，各有优缺点，术前应对患者进行充分手术评估，针对不同患者选择合理的手术术式。[Objective] To explore clinical effects and complications of the left chest and abdominal cardia cancer surgery, and provide objective basis for cardia cancer by clinical surgery. [ Method ] 62 patients of cardia cancer treated with surgery were selected in our hospital from January 2006 to December 2011, 34 cases of chest surgery as the observation group, 28 cases of the abdominal surgery as control group. The effect and complications of two groups were evaluated. [Results] The average cleaning the number of lymph nodes of observation group was （14.18~3.52）, more than control group（10.05_＋2.96）, the difference was statistically signifieant（P 〈0.05）; The hospital stay time of observation group was （13.98-＋3.52）d, more than control group （9.74_＋2.86）d, the difference was statisti- cally significant （P 〈0.05）; Cutting edge retention rate and surgical resection rate were compared between the two groups, there were no statistically significant difference （P 〉0.05）. The pulmonary complications of observation group was 17.65%（6/34）, higher than the control group 7.14%（2/28）, the difference was statistically signifieant（P 〈0.05） and the abdominal cavity infection of control group was 10.71%（3/28）, higher than the observation group, the difference was statistically significant （P 〈0.05）, anastomotic fistula and postoperative 1 year survival ratewas compared in two groups, there were no statistically significant difference （P 〉0.05）. [ Conclusion ] Two kinds of surgical methods could be effectively for cardia cancer, each has advantages and disadvantages. We should make full operation as- sessment pre-operation and choose a reasonable surgical operation according to different patients.

关 键 词：贲门癌 手术路径 效果 

分 类 号：R735.2[医药卫生—肿瘤]