食管癌三野淋巴结清扫术中胸内吻合的应用及其临床价值  

Risk Factors Resulting in Patients Suffering from Venous Thromboembolism and Changes of Coagulation after Central Venous Catheters

作　　者：周晓琪[1] 张海峰[1] 

机构地区：[1]江苏省如皋市人民医院,226500

出　　处：《实用癌症杂志》2017年第4期609-612,共4页The Practical Journal of Cancer

摘　　要：目的研究胸内吻合方法在食管癌三野淋巴结清扫术中的应用以及胸内吻合方法的临床价值。方法随机选取行食管癌治疗的患者97例,其中颈部吻合组82例,胸内吻合组15例。比较2种吻合方式下吻合口瘘的发生及其手术相关情况。结果 2组手术时间、淋巴结清扫数量、失血量等方面无统计学差异(P>0.05)。胸内吻合方法可显著降低食管癌三野淋巴结清扫手术后吻合口瘘的发生概率,发生吻合口瘘的概率与颈部比较,吻合组显著降低(3.22%vs.20.55%,P=0.015)。结论食管癌三野淋巴结清扫术中采用胸内吻合能显著降低吻口瘘发生率,并且胸内吻合也没有对手术时间、清扫淋巴结的数量、手术失血情况等术中临床状况造成影响。Objective To study the clinical value of intrathoracic esophageal anastomosis method in three-field lymph node dissection,and intrathoracic anastomosis methods. Methods 97 cases of esophageal cancer patients （ cervical anastomosis 82 cases, 15 cases of intrathoracic anastomosis） were randomly selected, clinical data of the 2 groups were compared. Results Conventional logistic regression analysis, and we further the clinical and pathological data and contributing factors that may anasto- motic fistula were analyzed comparison,it was found intrathoraeie anastomosis can significantly reduce the three-field lymph after dissection anastomotic fistula probability, the probability of occurrence of anastomotic leakage in intrathoracic was significantly lower （3.22% vs. 20.55% ,P = 0. 015 ） anastomosis group. Conclusion Three field intraoperative use of intrathoracic anastomosis can significantly reduce the incidence of fistula, and intrathoracic anastomosis nor operative time, intraoperative clinical condition affecting the number of lymph node dissection, surgical blood loss.

关 键 词：食管癌 三野淋巴结清扫术 胸内吻合 颈部吻合 

分 类 号：R735.1[医药卫生—肿瘤]