不同入路贲门癌根治术治疗贲门癌的效果  

Effect of Radical Gastrectomy for Cardiac Carcinoma With Different Approaches

作　　者：关军 许志扬 许建新 GUAN Jun;XU Zhiyang;XU Jianxin(Department of General Surgery,The Teaching Hospital of Fujian Medical University/Putian City First Hospital,Putian Fujian 351100,China)

机构地区：[1]福建医科大学教学医院/莆田市第一医院普外科,福建莆田351100

出　　处：《中国卫生标准管理》2021年第22期87-89,共3页China Health Standard Management

摘　　要：目的探讨不同入路贲门癌根治术治疗贲门癌的效果。方法回顾性分析2016年1月—2019年1月在我院外科治疗的100例贲门癌患者的临床资料,根据不同手术入路进行分组,对照组50例使用经胸贲门癌根治术,观察组50例使用经腹贲门癌根治术,对比两组的手术指标、术后并发症、生存情况。结果观察组手术时间、术中出血量、术后引流量、住院时间明显少于对照组,淋巴结清扫总数多于对照组(P<0.05),两组切口长度、切缘肿瘤残留率、手术根治率相比差异无统计学意义(P>0.05);观察组胸腔积液、肺部感染发生率明显低于对照组(P<0.05),两组腹腔感染、切口感染、吻合口瘘的发生率相比差异无统计学意义(P>0.05);两组围术期死亡率、1年生存率、2年生存率相比差异无统计学意义(P>0.05)。结论经腹入路贲门癌根治术治疗贲门癌的效果更好,淋巴结清扫更彻底,术后胸腔积液、肺部感染率低,恢复时间更短,值得优先选择。Objective To investigate the effect of radical resection of cardiac carcinoma with different approaches.Methods A retrospective analysis from January 2016 to January 2019 in our hospital surgical treatment of the clinical data of 100 patients with cardia cancer,according to the different approaches to group and control group,50 cases with the chest cardia cancer radical group,50 cases of using abdominal cardiac carcinoma radical compared two groups of operation indicators,postoperative complications and survival condition.Results The operative time,intraoperative blood loss,postoperative drainage volume and length of hospital stay in the observation group were significantly less than those in the control group,and the total number of lymph node dissection was more than those in the control group(P<0.05).There were no significant differences in the incision length,tumor residual rate at the surgical margin and surgical radical resection rate between the two groups(P>0.05).The incidence of pleural effusion and pulmonary infection in the observation group was significantly lower than that in the control group(P<0.05),and there were no significant differences in the incidence of abdominal cavity infection,incision infection and anastomotic fistula between the two groups(P>0.05).There were no significant differences in perioperative mortality,1-year survival rate and 2-year survival rate between the two groups(P>0.05).Conclusion Transabdominal approach radical gastrectomy for cardiac cancer has better effect,more thorough lymph node dissection,lower rate of postoperative pleural effusion and pulmonary infection,shorter recovery time,which is worthy of priority.

关 键 词：贲门癌 贲门癌根治术 经腹入路 经胸入路 效果 并发症 

分 类 号：R656.6[医药卫生—外科学]