胃管状成形术对食管癌患者术后生活质量的影响

Effect of gastric tube angioplasty on life quality of esophageal cancer patients

目的探讨胃管状成形术治疗食管癌的临床应用价值及对食管癌患者术后生活质量的影响。方法选择188例食管癌患者,其中管胃重建消化道的患者98例(管胃组),全胃重建消化道手术治疗的患者90例(全胃组)。比较2组患者的术后并发症和生活质量评分情况。结果管胃组患者术后胸胃综合征(0.00%)、吻合口狭窄(4.08%)、胃排空延迟(1.02%)、反流性食管炎(5.10%)、吻合口瘘(4.44%)及肺部并发症(2.04%)的发生率较全胃组患者明显降低,差异均有统计学意义(P<0.05);术后6、12个月,管胃组患者生活质量评分分别为(90.76±9.28)和(96.27±11.33),均显著高于全胃组的(80.35±10.34)和(84.01±9.46),差异有统计学意义(P<0.05)。结论管胃重建消化道更符合生理解剖的要求,术后并发症发生率也明显降低,患者术后生活质量得到明显改善。

Objective To investigate the effect of gastric tube angioplasty on life quality of esophageal cancer patients. Methods A total of 188 esophageal cancer patients were chosen, among whom 98 patients received gastric tube reconstruction of the digestive tract, and 90 patients received total gastrectomy reconstruction of digestive tract surgery. Postoperative complications and life qual- ity scores of the two groups were analyzed and compared. Results In gastric tube group, the inci- dences of postoperative thoracic stomach syndrome （0 % ）, anastomotic stricture （4.08 % ）, delayed gastric emptying（1.02%）, reflux esophagitis （5.10%）, anastomotic leak （4.44%）, and pul- monary complications （2.04 % ） were significantly lower than those of total gastrectomy group. The differences were statistically significant （P 〈 0.05）. After 6 months and 12 months, life quality scores of gastric tube group （90.76 ±9.28, 96.27 ±11.33） were significantly higher than those of the total gastrectomy group, and the differences was statistically significant （P 〈 0.05）. Conclusion Gastric tube reconstruction of digestive tract is more in line with anatomy and physiology require- ments, and it can significantly reduce the incidence of postoperative complications, and significantly improve postoperative life quality.