食管癌术后并发症和死亡原因分析

Analysis of esophageal carcinoma postoperative complications and causes of death

目的探讨食管癌患者术后并发症的发生、死亡原因并积极寻找其防治措施。方法回顾分析我科患者的手术资料,根据不同的收治时间将患者分为三组。统计患者术后早期并发症的发生率、术后死亡率等数据,再将三组的数据进行统计学处理与对比。结果Ⅱ组与Ⅲ组患者的手术切除率均高于Ⅰ组,而并发症发生率与手术死亡率均低于Ⅰ组;Ⅲ组的手术切除率高于Ⅱ组,而术后死亡率则低于Ⅱ组,并发症发生率与Ⅱ组比较无差异;Ⅱ组患者的肺部并发症发生率与术后死亡率均低于Ⅰ组;Ⅲ组患者的肺部并发症发生率高于Ⅱ组,与Ⅰ组比较无差异,但术后死亡率低于Ⅰ和Ⅱ组。结论肺部并发症与吻合口瘘是食管癌切除术后最常见的并发症和致死原因。随着医学技术的不断提高及手术治疗经验的积累,食管癌术后并发症发生率与病死率正逐步降低。

Objective To explore postoperative complications and cause of death of patients with esophageal cancer, and actively search for the prevention and control measures. Methods Retrospective analyzed patients＇ operation data, the patients were arranged into three groups according to the different treatment time. Collected incidence of early postoperative complications, mortality statistics, and then Compared the data of three groups. Results Operation resection rate of group Ⅱ and group m were higher than the Ⅰ group＇s, while the complications and mortality of group II and group Ⅲ was lower than that in group I , operation resection rate of group Ⅲ was higher than that in group Ⅱ, the postoperative mortality of group Ⅲ was lower than that in Ⅱ group, the complication rate compared with the Ⅱ group had no difference. The rate of postoperative mortality and pulmonary complications in group Ⅱ were lower than those of group Ⅰ, pulmonary complications in group Ⅲ was higher than that in group H, compared with the group I had no difference, but the postoperative mortality of group Ⅲ was lower than that in group I and group Ⅱ. Conclusion Pulmonary complications and anastomotic fistula is the most common complication and cause of death. With the improvement of technology and operation methods, esophageal carcinoma postoperative complication rate and mortality rate is gradually reduced.