管状胃与次全胃代食管颈部吻合术在食管癌根治术中的效果比较  

Comparison of effects of tubular and subtotal gastroesophageal cervical anastomosis in radical esophageal cancer surgery

作　　者：孙伟锋 SUN Weifeng(Department of 2nd Cardiothoracic Surgery of Anyang District Hospital,Puyang 455000 Henan,China)

机构地区：[1]安阳地区医院心胸外二科,河南濮阳455000

出　　处：《中国民康医学》2020年第4期23-25,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较管状胃与次全胃代食管颈部吻合术在食管癌根治术中的应用效果。方法:选取76例食管癌患者为研究对象,依据随机数字表法分为对照组和研究组各38例。对照组采取管状胃代食管颈部吻合术治疗,研究组采取次全胃代食管颈部吻合术治疗。比较两组手术情况、术后恢复情况及并发症发生情况。结果:两组手术时间、术中出血量比较,差异均无统计学意义(P>0.05);研究组术后肛门首次排气时间、术后肠鸣音恢复时间、术后首次下床活动时间及术后住院时间均明显短于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率为7.89%(3/38),明显低于对照组的31.58%(12/38),差异有统计学意义(P<0.05)。结论:在食管癌根治性手术治疗中应用次全胃代食管颈部吻合术有利于降低患者并发症发生率,促进其术后尽快恢复。Objective:To compare application effects of tubular and subtotal gastroesophageal cervical anastomosis in radical esophageal cancer surgery.Methods:76 patients with esophageal cancer were selected as the research objects,and were divided into control group(n=38)and study group(n=38)according to the random number table method.The control group was treated with tubular gastroesophageal cervical anastomosis,while the study group was treated with subtotal gastroesophageal cervical anastomosis.The surgical conditions,postoperative recovery and complications were compared between the two groups.Results:There were no significant differences in the surgical time and intraoperative blood loss between the two groups(P>0.05).The first anal exhaust time,postoperative bowel sound recovery time,postoperative first out-of-bed activity time and postoperative hospital stay in the study group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 7.89%(3/38),which was significantly lower than the control group of 31.58%(12/38),and the difference was statistically significant(P<0.05).Conclusions:The application of subtotal gastroesophageal cervical anastomosis in the radical esophageal cancer surgery is beneficial to reduce the incidence of complications and promote the recovery of the patients as soon as possible.

关 键 词：管状胃 次全胃 胃食管吻合术 食管癌根治术 并发症 

分 类 号：R735.1[医药卫生—肿瘤]