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目的探讨综合治疗在高龄食管癌患者围手术期优缺点。方法 50例高龄食管癌手术患者随机分位常规组(30例)和研究组(20例)。通过观察两组高龄患者的术中出血量、瘘愈合时间、总胸液量、吻合口瘘发生率、呼吸障碍例数、患者治疗费用等方面,比较两种治疗模式在高龄食管癌患者围手术期的优缺点。结果与常规组比较,研究组术中出血量、呼吸障碍发生情况、瘘愈合时间、总胸液量,治疗费用均明显较优,差异有统计学意义(P<0.05);研究组吻合瘘发生情况略优于常规组,但差异无统计学意义(P>0.05)。结论高龄食管癌患者围手术期采用综合治疗,专人负责,标准管理,强化细节,增加了管床医生和护士的工作量,但减少了高龄患者围手术期并发症的发生,且疗效显著,仍是非常有意义的。
Objective To investigate the advantages and disadvantages of comprehensive treatment in the elderly patients with esophageal cancer perioperative period. Methods 50 cases of elderly patients with esophageal cancer surgery were randomly divided into routine group (30 cases) and study group (20 cases). By observing the blood loss, fistula healing time, total pleural fluid volume, the incidence of anastomotic fistula, the number of respiratory disorders, the treatment costs of patients in two groups of elderly patients, the two treatment modalities were compared in patients with esophageal cancer The pros and cons of the period. Results Compared with the conventional group, the bleeding volume, the occurrence of respiratory disorders, the healing time of fistula, the total pleural effusion and the cost of the treatment were significantly better in the study group with statistically significant differences (P <0.05). The anastomotic fistula The situation was slightly better than the conventional group, but the difference was not statistically significant (P> 0.05). Conclusion Comprehensive treatment, special responsibility, standard management and strengthening of details in perioperative period of elderly patients with esophageal cancer increase the workload of tube doctors and nurses, but reduce the incidence of perioperative complications in elderly patients with significant curative effect. It is very meaningful.