经胸与经腹贲门癌根治术的临床效果比照观察  

Observation on the comparison of clinical effects between radical operation of transthoracic and transabdominal cardiac carcinoma

作　　者：周国华[1] Zhou Guohua(Department of Thoracic Surgery,the People's Hospital of Xichong County 637200)

机构地区：[1]西充县人民医院胸外科,637200

出　　处：《中国社区医师》2018年第9期91-91,93,共2页Chinese Community Doctors

摘　　要：目的:探讨经胸与经腹贲门癌根治术的临床效果。方法:收治贲门癌患者80例并分两组。经腹入路组采用的手术为经腹贲门癌根治术,经胸入路组采用经胸贲门癌根治术。比较两组相关指标。结果:经腹入路组手术操作时间、出血量、住院时间少于经胸入路组(P<0.05);经腹入路组淋巴结清扫数量更多(P<0.05);经胸入路组肺感染高于经腹入路组,切缘阳性率和复发率低于经腹入路组(P<0.05)。结论:经腹贲门癌根治术的临床效果优于经胸贲门癌根治术,可更好地减少创伤出血和缩短手术时间、住院时间,降低肺部感染发生率,更彻底地清除淋巴结。Objective:To investigate the clinical effects of radical and abdominal cardia cancer radical resection.Methods:80 patients with cardia cancer were divided into the two groups.The transabdominal approach group used transabdominal cardia cancer radical mastectomy,while the transthoracic approach group treated with radical resection of thoracic and cardia carcinoma.We compared the related indicators of the two groups.Results:The operation time,the amount of bleeding and the time of hospitalization in the group of abdominal approach were less than that of the thoracotomy group(P<0.05).The number of lymph node dissection in the transabdominal approach group was more(P<0.05).The pulmonary infection in the transthoracic approach group was higher than that of the transabdominal approach group.The positive rate and recurrence rate of the cutting edge were lower than that of the transabdominal approach group(P<0.05).Conclusion:The clinical effect of transabdominal cardioscopical radical operation is better than that of transthoracic cardia cancer radical operation.It can reduce the bleeding of trauma,shorten the time of operation,the time of hospitalization,reduce the incidence of pulmonary infection,and clearer the lymph nodes more thoroughly.

关 键 词：经胸贲门癌根治术 经腹贲门癌根治术 临床效果 

分 类 号：R735[医药卫生—肿瘤]