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目的:对经腹手术治疗老年贲门癌患者进行临床分析。方法:选取2010年10月~2012年10月我院收治的老年贲门癌患者120例,随机分为2组,各60例,经胸组经胸进行贲门癌手术治疗;经腹组经腹部进行贲门癌手术治疗;对比2组患者的手术情况。结果:经腹组术后切口感染率、肺部感染发生率、反流食道炎的发生比率,均明显优越于经胸组,差异有统计学意义(P<0.05),对比2组患者的3年、5年生存率差异无统计学意义(P>0.05)。结论:针对老年性贲门癌患者采用经腹部手术治疗可显著降低术后切口感染率,肺部感染发生率、反流食道炎发生比例,同时患者术后3年、5年的生存率,同经胸手术术后生存率,无差异性,同时无不良后果发生,可依据患者的情况进行应用和手术方式的选取。
OBJECTIVE: To analyze the clinical data of abdominal surgery in the treatment of cardia cancer in the elderly. Methods: From October 2010 to October 2012, 120 elderly patients with cardia cancer who were admitted to our hospital were randomly divided into 2 groups (60 in each). The patients in the transthoracic group underwent transurethral resection of cardia cancer. The transabdominal group Surgical treatment of cardiac cancer; comparison of two groups of patients with surgery. Results: Incision infection rate, incidence of lung infection and reflux esophagitis were significantly superior to those of the transthoracic group (P <0.05), and the difference between the two groups was significant There was no significant difference in the 5-year and 5-year survival rates (P> 0.05). Conclusion: Transabdominal surgery can significantly reduce the incidence of postoperative incision infection, the incidence of pulmonary infection and the incidence of reflux esophagitis in elderly patients with cardia cancer. At the same time, the 3-year and 5-year survival rates of patients with cardia cancer, Thoracic surgery survival rate, no difference, while no adverse consequences occurred, according to the patient’s condition for the application and selection of surgical methods.