食管癌贲门癌合并中重度冠状动脉狭窄16例治疗效果观察  

Therapeutic effect observation of esophageal and cardia cancer complicated with moderate to severe coronary artery stenosis： a report of 16 cases

作　　者：万清廉[1] 

机构地区：[1]河南郑州人民医院胸外科,河南郑州450052

出　　处：《临床研究》2017年第4期38-39,共2页Clinical Research

摘　　要：目的探讨食管癌贲门癌合并中重度冠状动脉狭窄的手术治疗方法和疗效.方法回顾分析手术治疗合并中重度冠状动脉狭窄的食管癌贲门癌患者16例临床资料.所有患者术后均进行随访观察,确定治疗效果及死亡情况.结果16例患者的手术成功率100%,术后5例患者出现心率失常情况,均给予对症治疗后恢复正常心率.无住院死亡病例,随访1-5年,存活9例,3例术后1-2年死于肿瘤复发,2例术后2年死于脑出血,2例术后2-3年后死于冠状动脉再狭窄所致心肌梗死.结论食管癌贲门癌合并中重度冠状动脉狭窄,先行PCI治疗,提高了患者的手术耐受性,再行食管胃吻合术,手术成功率高,值得临床推广应用.Objective To investigate the feasibility of surgical treatment of esophageal and cardiac cancer complicated with moderate to severe coronary artery stenosis. Methods The clinical data o f 16 patients with esophageal and cardiac cancer with moderate to severe coronary artery stenosis were analyzed retrospectively. All patients were followed-up after observation to identify the treatment effect and death cases. Results The success rate of operation was 100% in 16 cases. The heart rate abnormality was found in 5 patients after operation, and all the patients were given normal heart rate after symptomatic treatment. There was no death in hospital. The patients were followed up for 1 to 5 years, with 9 cases survived, 3 cases died of tumor recurrence after 1 to 2 years, 2 cases died of cerebral hemorrhage after 2 years of surgery, and 2 cases died of miocardial infarction caused by coronary artery restenosis after 2 t o 3 years of surgery. Conclusion PCI before the treatment of esophageal and cardiac cancer complicated with moderate to severe coronary artery stenosis can improve the patients＇ surgical tolerance, and then esophageal gastric anastomosis was performed to achieve high success rate, which was worthy of clinical application.

关 键 词：食管癌 贲门癌 冠脉狭窄 手术 

分 类 号：R697.3[医药卫生—泌尿科学]