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目的 :探讨贲门癌经胸腔手术与经腹腔手术治疗的选择。方法 :对我院 1996年 1月至 2 0 0 1年 12月期间所收治的 10 4例贲门癌病人的临床资料进行分析。结果 :经胸腔手术治疗 66例占 63 .5 % ,经腹腔手术 3 8例占 3 6.5 %。经胸腔手术肺部感染 6例占 9.1% ,返流性食管炎 5例占 7.6% ,心律失常 1例占 1.5 %。经腹腔手术肺部感染 1例占 2 .6% ,返流性食管炎 3例占 7.9%。两组手术均无吻合口瘘或吻合口狭窄 ,无出现粘连性肠梗阻 ,无死亡。结论 :贲门癌行近端胃、食管部分切除经腹腔手术并发症明显少于经胸腔手术 ,并且创伤小 ,术后恢复快等优点
Objective: To investigate the treatment of cardia cancer by thoracic surgery and transabdominal surgery. Methods: The clinical data of 104 patients with cardiac cancer admitted from January 1996 to December 2001 in our hospital were analyzed. Results: 66 cases of thoracic surgery accounted for 63.5%, 38 cases of abdominal surgery accounted for 3 6.5%. Thoracic surgery, pulmonary infection in 6 cases accounted for 9.1%, reflux esophagitis in 5 cases accounted for 7.6%, arrhythmia in 1 case accounted for 1.5%. One case of lung infection by intraperitoneal surgery accounted for 2.6%, 3 cases of reflux esophagitis accounted for 7.9%. There was no anastomotic fistula or anastomotic stricture in both groups, no adhesive intestinal obstruction and no death. Conclusion: The complications of transabdominal and esophageal partial resection of abdominal cardia are less than those of transabdominal surgery, and the advantages of less trauma and faster postoperative recovery