Objective To evaluate the gastric tube gastroesophagostomy on life quality after esophagectomy. Methods From August 2007 to April 2008,104 patients suffer esophageal carcinoma in middle and lower thoracic region underwent ophagectomy.54 patients underwent gastric tube gastroesophagostomy, the other 50 patients underwent whole stomach gastroesophagostomy. Life quality were evaluated at one,three and six mouths post operation separately. Results All patients were survival without hospitalization death. Post-operative complication rate showed no difference between the two group. There was no statistical significance of life quality at one mouth(P＞0.05), but statistical significance of post operative life quality showed at three and six mouths(P＜0.05). Conclusion The long time life quality of gastric tube gastroesophagostomy group is obviously better than whole stomach gastroesophagostomy group.%目的 探讨管状胃食管吻合术对食管癌患者术后生活质量的影响.方法 自2007年8月至 2008年4月期间,随机选择104例胸中下段食管癌患者行食管癌切除术,其中管状胃组 54例行管状胃食管吻合术,全胃组50例采用传统全胃食管吻合术.分别于术后第3、6、12个月评价其生活质量.结果 104例患者均获成功,无手术死亡病例,术后并发症两组之间比较差异无统计学意义.术后第3个月两组的生活质量比较差异无统计学意义(P＞0.05);术后第6个月和第12个月管状胃组生活质量指标改善比全胃组明显,差异有统计学意义(P＜0.05).结论管状胃食管吻合术组患者较全胃食管吻合术组患者术后远期生活质量明显提高.
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