摘要
目的分析中上段食管癌手术颈部管状胃、食管器械吻合的应用效果。方法收集2015年2月-2018年2月南阳市第一人民医院收治的中上段食管癌患者100例,将其随机分为两组,观察组行颈部管状胃、食管器械吻合,对照组行全胃手工吻合,对比两组患者的手术情况以及并发症发生情况。结果观察组手术时间、食管胃吻合时间以及住院时间分别为(200.02±40.25)min、(30.25±0.58)min、(15.63±0.25)d,均短于对照组[(268.96±52.63)min、(60.25±5.96)min、(22.56±5.69)d],观察组游离后胃长度为(38.63±3.56)cm,长于对照组[(30.02±3.05)cm],两组间对比差异有统计学意义(t=5.6258、12.6325、17.6257、9.2587,P<0.05);观察组呼吸循环并发症、乳糜胸、吻合口狭窄以及吻合口瘘发生率均低于对照组,组间差异存在统计学意义,(χ2=6.3258、3.6258、5.6247、6.3258,P<0.05)。结论中上段食管癌手术中颈部管状胃、食管器械吻合的应用效果显著,可推广。
Objective To analyze the application effect of cervical tubular stomach and esophagus anastomosis for middle and upper esophageal carcinoma. Methods From February 2015 to February 2018, 100 patients with middle and upper esophageal cancer admitted to our hospital were randomly divided into two groups. The observation group received instrument anastomosis of neck tubular stomach and esophagus, and the control group received manual anastomosis of whole stomach.Results The operation time, esophagogastric anastomosis time and hospitalization time of the observation group were(200.02±40.25) min,(30.25±0.58) min and(15.63±0.25) d, respectively, which were shorter than those of the control group [(268.96±52.63) min,(60.25±5.96) min and(22.56±5.69) d]. t=5.6258, 12.6325, 17.6257, 9.2587, P<0.05;The incidence rates of respiratory complications, chylothorax, anastomotic stenosis and anastomotic fistula in the observation group were all lower than those of the control group, and there were statistically significant differences between the groups.χ~2=6.3258, 3.6258, 5.6247 and 6.3258, P<0.05. Conclusion The application effect of neck tubular stomach and esophagus anastomosis in middle and upper esophageal carcinoma surgery is remarkable and can be popularized.
作者
王德昌
WANG De-chang(The First People's Hospital of Nanyang,Henan,Nanyang 473010,China)
出处
《医药论坛杂志》
2019年第9期53-55,共3页
Journal of Medical Forum
关键词
中上段
食管癌
颈部管状胃
食管
器械吻合
Middle and upper paragraph
Esophageal cancer
Neck tubular stomach
The esophagus
Equipment match
