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目的探讨不同手术入路治疗食管癌的临床治疗效果。方法回顾性分析在2011年1月份到2011年8月份到我院进行治疗的食管癌贲门癌患者120例的临床资料,对其病例进行分析,后进行统计和比较所选患者进行的手术入路方式和并发症发生情况。结果在120例食管癌贲门癌患者,均进行了不同的手术入路治疗,其中经左胸后外侧入路者73例,经右胸后外侧入路者12例,经胸腹部正中联合入路者25例,经上腹部正中入路者10例;患者在术后均表现有不同程度的肺部并发症、主动脉出血、奇静脉出血、胃排空障碍等并发症,后经过精心的治疗,所有患者均取得了较好的治愈效果。结论治疗食管癌时,首先对不同手术入路的适应证要做到熟练掌握,然后根据患者病情的不同,选取适合患者的手术入路方式进行治疗,可以提高手术的成功性,减少并发症。
Objective To investigate the clinical effects of different surgical approaches in the treatment of esophageal cancer. Methods The clinical data of 120 patients with esophageal and gastric cardia cancer treated in our hospital from January 2011 to August 2011 were retrospectively analyzed. The cases were analyzed, then the statistics were performed and the surgical approaches of the selected patients were compared Mode and complications occurred. Results 120 cases of esophageal and cardiac cancer patients were treated with different surgical approaches, including 73 cases of left lateral thoracic approach, right thoracic lateral approach of 12 cases, the median thoracoabdominal approach In 25 cases, the middle of the upper abdomen in 10 cases; patients showed varying degrees of postoperative complications of the lungs, aortic bleeding, venous bleeding, gastric emptying and other complications, after careful treatment , All patients have achieved a better cure. Conclusions In the treatment of esophageal cancer, firstly, the indications for different surgical approaches should be well mastered, and then the surgical approach suitable for the patients should be selected according to the patient’s condition, which can improve the operation’s success and reduce the complications.