管状胃治疗老年人食管癌临床疗效分析

Clinical effects of gastrictube surgery for the treatment of esophageal carcinoma in elderly patients

目的管状胃治疗老年食管癌患者的临床疗效进行分析，评价术后老年患者生活质量和临床安全性。方法选取我院年龄60～72岁的食管癌患者171例，随机分为治疗组和对照组，治疗组行管状胃治疗，对照组行传统全胃代食管治疗，分别在术后3周、6个月、12个月评价患者生活质量、满意度及管状胃治疗的安全性。结果171例食管癌患者手术均获得成功，术后3周治疗组和对照组生活质量评分均较低，治疗组为（67．3±9．6）分，对照组（65．3±8．4）分，两组比较差异无统计学意义（P〉0．05）；术后6个月、术后12个月治疗组生活质量评分分别为（89．2±8．3）分和（90．3±9．6）分，对照组分别为（66．5±10．4）分和（60．5±11．2）分，差异均有统计学意义（t=4．476，P〈0．05）。治疗组术后并发症发生率仅为6．9％，对照组为30．6％，两组比较差异有统计学意义（x2=18．43，P〈0．01）。治疗组和对照组术后3周满意度比较，差异无统计学意义（P〉0．05）；术后6个月和12个月的满意度比较，差异有统计学意义（P〈0．05）。结论管状胃治疗老年食管癌患者，可有效改善患者的生活质量，并能有效预防术后并发症的发牛，佰得临床推广．

Objective To analyze clinical effects of gastric tube operation for treatment of esophageal cancer in elderly patients and evaluate its clinical efficacy and safety. Methods A total of 171 patients aged 60-72 years with esophageal cancer in our hospital were selected. They were randomly divided into treatment group and control group. Treatment group was treated with gastric tube operation, and control group was traditionally treated with complete replacement of esophagus with stomach. The quality of life, patient satisfaction and safety of operation were evaluated after 3 weeks, 6 months and 12 months after operation, respectively. Results The operation for esophageal cancer in 171 patients were successful. At 3 weeks after the operation, the score of life quality in treatment group and control group were both low [（67.3--＋_ 9.6） vs. （65.3---b-8.4）], and there were no significant differences between the two groups （P]〉0.05）. At 6 months and 12 months after operation, the scores of life quality were （89.2＋_8.3） and （90.3~9.6） in treatment group, and （66.5~ 10.4） and （60.5±11.2） in contol group, respectively. There were statistical differences between the two groups after 6 months and 12 months of operation （P〈0.05）. The complication rate in treatment group （6.9%） was much lower than that in control group （30.6%）, and there were significant differences between the two groups （X2 = 18.43,P-（0.01）. The patient satisfaction was in no differences between the two groups at 3 weeks after operation （P 〉 0.05）, while there were statistically significant differences at 6 and 12 weeks after the operation （P〈0.05）. Conclusions Gastric tube operation in treatment of elderly patients with esophageal cancer, can effectively improve the life quality, and prevent the occurrence of postoperative complications, which is worthy of clinical application.