管状胃代食管术与全胃代食管术治疗食管癌的临床疗效观察

摘要

Objective:To investigate the clinical treatment effect of tubular stomach esophagus surgery and full stomach generation esophageal surgery in the treatment of esophageal cancer.Method:108 patients diagnosed with esophageal cancer in our hospital from October 2012 to October 2013 were selected,they were divided into the observation group and the control group according to the random number table method,54 cases in each group. The observation group was given tubular stomach esophagus surgery for treatment,the control group was given full stomach generation esophageal surgery for treatment.The operation time,intraoperative blood loss,postoperative gastrointestinal decompression time,chest closed drainage time,hospital stay and incidence of complications after surgery in the two groups were observed and compared.Result:There were no significant differences between the two groups in the operation time,intraoperative blood loss,postoperative gastrointestinal decompression time,chest closed drainage time and hospital stay(P>0.05).The incidence of thoracic gastric syndrome and reflux esophagitis in observation group were 1.85%and 3.70%,which were significantly lower than 14.81%and 14.81%in the control group,the incidence of postoperative complications in the observation group was 20.37%(11/54),which was significantly lower than 50.00%(27/54) in the control group,the differences were statistically significant(P<0.05).Conclusion:Tubular esophagus stomach surgery for esophageal cancer treatment is better than the full stomach generation esophageal surgery,and can better reduce the incidence of postoperative complications,has good clinical application value,is worth promoting and application.%目的：探讨管状胃代食管术与全胃代食管术治疗食管癌的临床治疗效果。方法：选取笔者所在医院2012年10月-2013年10月收治的确诊为食管癌的108例患者，根据就诊顺序按照随机数字表法将其分为观察组和对照组，每组54例。观察组采用管状胃代食管术治疗，对照组采用全胃代食管术治疗，观察比较两组患者的手术时间、术中出血量、术后胃肠减压时间、胸腔闭式引流时间、住院时间及术后并发症发生情况等指标的差异。结果：两组患者的手术时间、术中出血量、术后胃肠减压时间、胸腔闭式引流时间及住院时间比较差异均无统计学意义(P>0.05)。观察组的胸胃综合征和反流性食管炎的发生率分别为1.85%和3.70%，均明显低于对照组的14.81%和14.81%，且术后并发症总发生率20.37%(11/54)明显低于对照组的50.00%(27/54)，差异均有统计学意义(P<0.05)。结论：管状胃代食管术对食管癌的治疗效果优于全胃代食管术，且能更好地降低术后并发症的发生，具有较好的临床应用价值，值得大力推广和应用。