微创细管法治疗食管胃吻合口瘘58例效果分析

Analysis on outcomes of treating intrathoracic anastomotic leak after esophagectomy for cancer in 58 cases

目的探讨微创细管法治疗食管胃吻合口瘘的优势。方法食管胃吻合口瘘患者58例分别采用微创细管法(A组,31例)和传统置管法(B组,27例)治疗,比较两组的治愈率、病死率、平均住院时间、治疗期间舒适度(VSA评分)及东方协作肿瘤组织(ECOG)体力状态评分。结果A组治愈率明显高于B组(92.6%vs.71.0%)(P<0.05)。A组VAS评分及ECOG体力状态评分均优于B组[(2.46±1.35)分vs.(6.47±4.35)分]和[(2.04±0.73)分vs.(3.84±1.98)分](P<0.05)。A组住院时间明显短于B组[(37.59±20.05)d vs.(76.49±42.16)d](P<0.01)。A、B两组病死率相仿(3.7%vs.16.1%)(P>0.05)。结论与传统置管法比较,微创细管法在食管胃吻合口瘘的治疗中有明显优势。

Objective To investigate the superiority of microinvansive fine tube（MIFT） technique in treating anastomotic leakage after esophagectomy for cancer.Methods Anastomotic leakage after esophagectomy was treated with MIFT in 27 cases（group A） or with conventional catheterization in 31 cases（group B）.The outcomes of treatment was compared between two groups.Results The cure rate was higher in group A than that in group B（92.6% vs.71.0%）（P〈0.05）.The VAS for comfortability was better in group A than that in group B [（2.46±1.35） points vs.（6.47±4.35） points],so did the ECOG for survival quolity [（2.04±0.73） points vs.（3.84±1.98） points]（P〈0.05）.The mortality of group A was similar to that of group B（3.7% vs.16.1%）（P〉0.05）.Conclusion MIFT technique is superior to the conventional catheterization in treating anastomotic leak after esophagectomy for cancer.