高龄食管癌患者三切口手术80例分析

Three incisions for elderly patients with esophageal cancer: An analysis of 80 cases

目的探讨三切口手术治疗高龄食管癌的疗效及安全性。方法将2008年5月～2013年5月入住我院的80例高龄食管癌患者随机分为观察组与对照组各40例，对照组予Sweet手术，观察组予三切口手术，比较两组的临床疗效、术中及术后情况等。结果（1）观察组临床治疗总有效率为70．00％（28／40），对照组临床治疗总有效率为55．00％（22／40），两组差异具有统计学意义（P〈0．05）；（2）对照组术中出血量、手术时间、胸腔引流量、住院时间以及切缘残留均明显高于观察组（P〈0．05，P〈0．01）；（3）两组术后均出现吻合口瘘、肺不张、心律失常等并发症，对照组并发症发生率为22．50％（9／40），观察组为7．50％（3／40），两组相比，差异具有湿著的统计学意义（P〈0．01）。结论三切口手术为适合高龄食管癌患者的手术方法之一，短期疗效比较理想，值得在临床上加以推广并应用。

Objective To investigate the efficacy and safety elderly of patients with esophageal cancer by three incisions. Methods 80 cases of elderly patients with esophageal cancer in our hospital from May 2008 to May 2013 were randomly divided into control group and observation group according to the parallel-group method, each group had 40 cases. The control group was given sweet surgery, observation group was given three incisions, the clinical efficacy of intraoperative and postoperative groups and so on were compared. Results （1）The clinical total effective rate of the control group was 55.00% （22/40）,the observation group was 70.00% （28/40）, the difference was statistically signifi- eant（P 〈 0.05）; （2）The amount of bleeding, operative time, chest drainage, hospitalization time, and cutting edge residues of the control group patients were significantly higher than the observation group, the differences were staffstieally significant between two groups （P 〈 0.05, P 〈 0.01 ）; （3）The complication rate of the control group was 22.50% （9/ 40）, the observation group was 7.50%（3/40）, incidence of adverse reactions were compared between the two groups, the difference was statistically significant （P 〈 0.01 ）. Conclusion Three incisions fit elderly patients with esophageal cancer surgery, short-term efficacy is ideal, worthy to be promoted in clinical and applied.