两种不同消化道重建路径对胸腔镜联合食管癌手术治疗的效果影响  

Effect of Two Different Digestive Tract Reconstruction Paths on Thoracoscopy Combined with Esophageal Cancer Surgery

作　　者：田广宇 TIAN Guang-yu(Songyuan City Integrated Traditional Chinese and Western Medicine Hospital,Songyuan,Jilin,138000)

机构地区：[1]松原市中西医结合医院,吉林松原138000

出　　处：《智慧健康》2018年第18期72-73,共2页Smart Healthcare

摘　　要：目的探讨两种不同消化道重建路径对胸腔镜联合食管癌手术治疗的效果影响。方法在2016年8月至2017年8月,选择来我院进行胸腔镜联合食管癌手术治疗的65例患者作为此次研究对象,将其分成食管床组(32例)与胸骨后组(33例)。食管床组采用食管床径路方式,胸骨后组则采用胸骨后径路手术方式,比较两组患者最终手术治疗效果。结果在手术时间、术中出血量、胃管留置时间上比较,两组无明显差异(P>0.05)。而胸骨后组胃液引流量比食管床组低(P<0.05)。在吻合狭窄、吻合口瘘、呼吸衰竭并发症发生率方面,两组无明显差异,而胸骨后组肺部感染率低于食管床组(P<0.05)。结论两种不同消化道重建路径对胸腔镜手术联合食管癌手术的疗效无明显差异,选择时要结合自身情况选择合适的消化道重建路径。Objective to investigate effect of two different digestive tract reconstruction paths on thoracoscopy combined with esophageal cancer surgery. Methods choose 65 cases thoracoscopy combined with esophageal cancer patients from August 2016 to August 2017 in our hospital as study objects, divide them into esophageal bed group（32 cases） and posterior sternum group（33 cases）. Esophagus bed group was treated with esophagus bed path method, and posterior sternum with sternum path surgical method. Compare final surgical curative effect of two groups. Results operative time, intraoperative blood loss and gastric tube indwelling time showed no significant difference between two groups（P〉0.05）. Gastric fluid volume of posterior sternum group was lower than esophagus bed group（P〈0.05）. Complications incidence of anastomotic stenosis, anastomotic fistula and respiratory failure showed no significant difference between two groups, and pulmonary infection rate of posterior sternum group was lower than esophageal bed group（P〈0.05）. Conclusion two different digestive tract reconstruction paths showed no significant difference on curative effect of thoracoscopy combined with esophageal cancer surgery, and appropriate digestive tract reconstruction path should be chosen based on self conditions.

关 键 词：不同消化道重建路径 胸腔镜联合食管癌手术 效果影响 

分 类 号：R735.1[医药卫生—肿瘤]