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管状胃成形术在食管癌手术中的临床应用
引用本文:杨睿,张义栋,姜睿,郝鸿泽,姜文波. 管状胃成形术在食管癌手术中的临床应用[J]. 中国伤残医学, 2012, 20(2): 29-30
作者姓名:杨睿  张义栋  姜睿  郝鸿泽  姜文波
作者单位:杨睿 (大庆龙南医院-齐齐哈尔医学院第五附属医院胸心外科,黑龙江大庆,163000) ; 张义栋 (大庆龙南医院-齐齐哈尔医学院第五附属医院胸心外科,黑龙江大庆,163000) ; 姜睿 (大庆龙南医院-齐齐哈尔医学院第五附属医院胸心外科,黑龙江大庆,163000) ; 郝鸿泽 (大庆龙南医院-齐齐哈尔医学院第五附属医院胸心外科,黑龙江大庆,163000) ; 姜文波 (大庆龙南医院-齐齐哈尔医学院第五附属医院胸心外科,黑龙江大庆,163000) ;
摘    要:目的:评价管状胃成形术在食管癌根治手术中的临床效果。方法:选取我院胸外科收治的食管癌患者61例,按采取的手术术式不同分为管状胃组和传统组,管状胃组:31例,传统组:30例。观察2组患者手术后心肺并发症、吻合口狭窄发生率、反流性食管炎发生率等临床指标。结果:2组患者均顺利完成手术,管状胃组的胸胃综合征和反流性食管炎的发生率明显低于传统组,差异有统计学意义(P<0.05);在心肺并发症和吻合口狭窄发生率上无统计学意义(P>0.05)。结论:管状胃成形术能减少食管癌手术后并发症的发生率,改善患者术后生活质量,具有很好地临床应用价值。

关 键 词:管状胃  食管癌  食管切除术

Clinical Application Research of Gastric Tube in Surgeries to Treat Esophageal Carcinoma
Affiliation:YANG Rui,ZHANG Yi-dong,JIANG Rui,et al.(Department of Thoraco-cardiac Surgery,Longnan Hospital,Heilongjiang Daqing,163000)
Abstract:Objective:To Evaluate the clinical outcome of gastric tube in radical surgeries to treat esophageal carcinoma.Methods:61 patients with esophageal carcinoma in were enrolled in our study.Based on the surgical method,they were divided into the gastric tube group and the traditional way group.The gastric tube group had 31 patients;In the traditional way group,there were 30 patients,The rate of lung and heart complications、anastomotic stricture、reflux esophagitis in those two groups were observed.Results:All surgeries in the two groups were successfully performed.There were significant difference at thoracic gastric syndrome and reflux esophagitis(P<0.05).Conclusions:Gastric tube has a good value in clinical application with fewer complications,which can surely better quality of life of the patients.
Keywords:Gastric tube  Esophageal carcinoma  Esophagectomy
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