中下段食管癌采用机械吻合和手工吻合治疗的效果分析

Effect of Mechanical Anastomosis and Manual Anastomosis in Treatment of Middle-lower Esophageal Cancer

目的研究中下段食管癌患者行机械吻合和手工吻合的临床效果。方法选取我院2010年3月至2015年3月收治的中下段食管癌患者100例,随机分为两组。其中行手工吻合术治疗的32例患者作为手工组,行机械吻合术治疗的68例患者作为机械组。观察两组患者手术情况、治疗效果以及并发症发生情况。结果机械组患者手术时间、肛门排气时间、住院时间均显著短于手工组,吻合口宽度显著小于手工组,差异具有统计学意义(P<0.05)。机械组治疗优良率和并发症发生率分别为91.2%、2.9%,均显著优于手工组的75.0%和15.6%,差异具有统计学意义(P<0.05)。结论机械吻合对于中下段食管癌患者治疗效果较为显著,可有效缩短患者的恢复时间,降低并发症的发生率,值得临床应用及推广。

Objective To study the clinical effect of mechanical anastomosis and manual anastomosis in treatment of patients with middle-lower esophageal cancer. Methods 100 cases ＆patients with middle-lower esophageal cancer admitted to our hospital from March 2010 to March 2015 were selected and randomly divided into two groups. 32 cases of patients received manual anastomosis were set as manual group, 68 cases of patients received mechanical anastomosis were set as mechanical group. The operation conditions, treatment effect and complications of two groups were observed. Results The operation time, anus exhausting time, hospitalization time of mechanical group were shorter than those of manual group, the anastomotic stoma width was less than that of manual group （P 〈0.05）. The excellent and good rate, complications rate of mechanical group were 91.2%, 2.9% respectively, better than 75.0% and 15.6% of manual group （P〈0.05）. Conclusions Mechanical anastomosis has significant effect in treatment of patients with middle-lower esophageal cancer, and can effectively shorten the recovery time, reduce the incidence of complications, which is worthy of application and promotion in clinic.