摘要
目的:进一步明确食管癌患者手术死亡率,探讨不同时期食管癌手术死亡的主要原因。方法:回顾性分析我院自1954年1月开展食管外科至2003年12月50年间经外科成功切除食管癌手术2572例。按年代作统计,将前32年(1954年1月~1985年12月)和后18年(1986年1月~2003年12月)分为A、B两组,并就其术后死亡116例原因进行探讨分析。结果:A组手术死亡44例,死亡率为8.15%(44/540)。B组手术死亡72例,死亡率为3.54%(72/2032)。A、B两组死亡原因分析差异不大,最常见的死亡原因是吻合口瘘,其次是呼吸衰竭和呼吸循环衰竭;再次是心肌梗塞。结论:吻合口瘘、呼吸衰竭、呼吸循环衰竭、心血管病变(心肌梗塞心脏骤停)是本组食管癌术后死亡的主要原因。
To further clarify the operation mortality of esophageal carcinoma and to investigate the postoperative main cause of death of the esophageal carcinoma in different time. Metholds: A total of 2572 patients who received resection in our hospital during 50 years (from 1954 to 2003) were reviewed. They were divided into group A for the early 32 years (Jan.1954 to Dec. 1985) and group B for latter 18 years (Jan. 1986 to Dec. 2003). The cause of death for postoperative patients was analyzed. Results: The 44 patients of group A died after operation. The mortality was 8.15% (44/ 540) and 72 patients in group B died after operation, with a mortality of 3.54% (72/2032). Conclu- sions: The cause of death in group A is the same as in group B. The anastomotic fistula, respiration failure, heart failure, cardiovascular disease is the main cause of death for patients with esophageal carcinoma after operation.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2005年第22期1277-1279,共3页
Chinese Journal of Clinical Oncology
关键词
食管癌
死亡率
死亡原因
Esophageal carcinoma Mortality Cause of death