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目的 :探讨食管管状胃侧侧吻合术在食管癌手术中的应用价值。方法 :以2014年3月~2015年6月在我院手术的食管癌患者为观察对象。根据其手术方法,分为传统手术组(40例)和管状胃侧侧吻合术组(40例)。观察两组患者围手术期一般情况,比较两组患者手术前后肺功能、生活质量和并发症发生率的差异。结果 :两组患者手术时间、出血量和住院时间无明显差别;两组患者手术前6MWT、FVC和FEV1等肺功能指标无明显差别,手术后,两组患者上述指标均较手术前升高,且管状胃组高于传统手术组;手术前两组患者生活质量得分无明显差别,手术后,两组患者生活质量均较手术前增高,且管状胃组增高更明显;管状胃组吻合口瘘和胃排空障碍发生率明显低于传统手术组,两组患者术后吻合口狭窄和胸胃瘘发生率无明显差别。结论 :食管管状胃侧侧吻合术在食管癌手术中有较好的应用效果,可明显降低术后并发症的发生率,提高患者的生活质量。
Objective: To investigate the value of esophageal tubular gastric anastomosis in esophageal cancer surgery. Methods: From March 2014 to June 2015 in our hospital for esophageal cancer patients were observed. According to the surgical methods, they were divided into traditional surgery group (40 cases) and tubular gastric anastomosis group (40 cases). The general situation of perioperative period in both groups was observed. The difference of pulmonary function, quality of life and complication rate before and after operation were compared between the two groups. Results: There was no significant difference in operation time, blood loss and length of hospital stay between the two groups. There was no significant difference between the two groups in preoperative pulmonary function indexes such as 6MWT, FVC and FEV1. After operation, the above indexes in both groups were higher than those before operation, The quality of life of the two groups was higher than that before operation, and the tubular group was more obvious. The tubular group of anastomotic fistula And gastric emptying disorder was significantly lower than the traditional surgery group, the two groups of patients with anastomotic stenosis and thoracic gastric fistula incidence was no significant difference. Conclusion: Esophagogastric lateral gastric anastomosis in esophageal cancer surgery has a good effect, which can significantly reduce the incidence of postoperative complications and improve the quality of life of patients.