管状胃和全胃重建食管术后患者的近期生存质量比较

Comparison of quality of life in patients with resectable esophageal cancer after esophagectomy followed by gastric tube or whole stomach reconstruction

回顾分析我院2007年6月至2009年6月收治的133例食管癌患者临床资料。133例中，男85例、女48例，均行食管癌切除胃重建食管手术，其中管状胃重建食管64例，全胃重建食管69例。管状胃重建食管者无吻合121瘘发生，全胃重建食管者3例发生吻合口瘘，前者体重下降、反流、胸胃综合征发生例数少于后者（分别为19与35例，2与38例，5与26例）；术后6个月，两组患者在日常生活能力、情感功能、饮食量、吞咽困难方面差异均无统计学意义。提示管状胃重建食管术后患者近期牛存质量优于全胃重建食管术后患者。

From June 2007 to June 2009, 133 patients underwent esophageal resection, among them 64 cases received esophageal reconstruction with narrow gastric tube （NGT） and 69 received esophageal reconstruction with whole stomach （ WS ）. The postoperative quality of life （QOL） in 6 months of both groups was investigated. The study found that there were 3 cases in WS group having leakage, while no one in NGT group, the weight loss, regurgitation and chest-stomach syndrome in NGT group were superior to those in WS group, there were no statistical differences in activities of daily life, emotional functions, food intake, dysphagia between two groups. The study indicates that the quality of life in NGT group is superior to that in WS group.