管状胃代替食管对食管癌术后肺功能的影响

目的探讨管状胃代替食管对食管癌术后呼吸功能的影响。方法自2005年1月至2006年12月，106例胸中下段食管癌患者接受食管切除术，其中管状胃组50例行管状胃代食管主动脉弓上吻合术，对照纽56例采用传统胃代食管行弓上吻合。分别于术前1周、术后第1周、第2周、第4周检查肺功能。结果106例患者均获成功，无手术死亡病例，术后并发症发生率38．7％。术后第1周两组的呼吸功能差异无显著性（P〉0．05）；术后第2周和第4周管状胃组通气功能指标改善比对照组明显，差异有显著性（P〈0．05）。结论管状胃代食管相比传统胃代食管对食管癌患者术后呼吸功能影响较小。

Effect of the gastric tube instead of esophagus on respiratory function after esophagectomy

Objective To evaluate the effect of the gastric tube on respiratory function after esophagectomy. Methods From January 2005 to December 2006, 106 patients with esophageal carcinoma in middle and lower thoracic region underwent esophagectomy. 50 patients underwent esophagogastric anastomosis with gastric tube, the other 56 patients underwent esophagogastric anastomosis with tradition stomach. All patient＇s respiratory function were detected 1 st week before operation and 1 st week, 2rid week, and 4th week after operation. Results All patients were survival Without hospital death. Postoperative complication rate was 38.7%. The VC%, MVV% and FEV1.0 % showed no difference in two group at the 1 st week after operation. There were significant difference at the 2nd week and 4th week after operation （ P 〈 0.05 ）. Conclusion Esophagogastric anastomosis with gastric tube had little effect on respiratory function than with the tradition stomach after esophagectomy.