结肠代食管术治疗食管良性狭窄  

Colonic Interposition for Esophageal Substitution in the Treatment of Benign Esophageal Stricture

作　　者：宁玉林[1] 

机构地区：[1]河南省焦作市第二人民医院心胸外科,河南焦作454000

出　　处：《中外医疗》2015年第19期67-68,共2页China & Foreign Medical Treatment

摘　　要：目的探讨结肠代食管术治疗食管良性狭窄的临床治疗效果。方法整群选取该院2008年12月—2013年1月进行结肠代食管术的52例食管良性狭窄患者作为研究对象,观察患者进行手术的时间、手术后并发症的发生率、手术后的死亡率情况以及随访的情况。结果所有患者手术均顺利完成,没有出现死亡的病例。患者进行手术的时间平均为（190.76±19.87）min;患者手术后并发症的发生率为17.31%（9例）,手术后的死亡率为9.62%（5例）;对患者随访1~2年,依据Pompeo的生存质量分级进行评估,其中1级者有23例,2级者有18例,3级者有6例,没有4级的病例。结论结肠代食管术后在对患者随访的过程中,多数患者满意手术后的生活质量,患食管良性狭窄的患者,肠代食管术是保证其手术后生活质量的比较好的选择。Objective To investigate the clinical effect of colonic interposition for esophageal substitution in the treatment of be-nign esophageal stricture. Methods 52 patients with benign esophageal stricture who underwent colonic interposition for esophageal substitution in our hospital from December 2008 to January 2013 were selected as the research object. The surgery time, incidence of post-operative complications, post-operative mortality and follow-up situation of all the patients were observed. Results All patients were operated successfully completed, with no death case. Average surgery time was （190.76±19.87）min;the incidence of post-operative complications was 17.31%（9 cases）,and the mortality rate after surgery was 9.62%（5cases）; patients were followed up for 1 to 2 years and evaluated depending on the survival quality classification by Pompeo;there were 23 patients in class 1, 18 in class 2, 6 in class 3 and none in class 4. Conclusion In the postoperative follow-up, majority of patients are sat-isfied with thier qualities of life, therefore for patients with benign esophageal stricture, colonic interposition for esophageal substi-tution is a better selection.

关 键 词：食管良性狭窄 结肠代食管术 治疗 

分 类 号：R56[医药卫生—呼吸系统]