食管癌放疗后分期手术的临床研究

目的：研究食管癌放疗后手术分期施行的临床价值。方法：分析我院食管癌放疗后手术１期组（５６例）与分期组（１５６例），分组以Ａ、Ｂ组表示，切除率、吻合口瘘、脓胸、心肺并发症、死亡率及综合总并发症发生率。结果：切除率Ａ组９１％，Ｂ组９４％，Ｐ〉０．０５；吻合口瘘Ａ组６例，Ｂ组６例，Ｐ〉０．０５；脓胸Ａ组３例，Ｂ组未发生；呼吸衰竭发生Ａ组３例，Ｂ组６例，Ｐ〉０．０５；呼吸功能不全Ａ组１２例，Ｂ组２１例，Ｐ

Study of application of surgery by stages after radiotherapy of carcinoma of esophagus

Purpose:To study the clinical value of application of surgery by stages after radiotherapy of carcinoma of esophagus. Methods:Resectablity rate,anastomotic fistula,pyothorax,cardio pulmonary complication, mortality rate and total complication occurrence rate were analysed in operations of one stage group (56 cases) and by stages group (14 cases) patients after radio therapy of carcinoma of esophagus, which were designate as A,B group respectively.Results:Resectability rate group A 91%, group B 94%, P >0 05;anastomotic fistula group A 6 cases, group B 6 cases, P >0 05; pyothorax group A 3 cases, group B no occurrence; respiratory failure group A 3 cases, group B 6 cases, P >0 05;respiratory insufficieycy group A 12 cases, group B 21 cases, P >0 05;severe cardiac arrhythmia group A 21 cases, group B 18 cases, P <0 05;death group A 7 cases, group B 5 cases, P <0 05; total complications group A 45 times, group B 51 times. X [4] =3 5679, P >0 05 Conclusions:According to the patients' condition, the application of surgery by stages after radiotherapy of carcinoma of esophagus could remarkably reduce the operative mortality rate,severec cardiac arrhythmia, pyothorax occrrcence and also diminish the patients' discomfort and financial expenses.