不同手术治疗食道癌的临床疗效分析

Clinical Analysis of Different Surgical Treatments for Esophageal Cancer

目的探析食道癌患者采取不同手术治疗效果。方法该次研究74例食管癌患者均为方便选取该院及淮安市第一人民医院2015年2月—2018年11月接收的食管癌患者,根据入院单号、双号及患者意愿分为两组,每组37例,对照组开展传统手术治疗,研究组则接受管状胃根治术治疗,统计各组并发症发生率、住院时间、出血量及手术时间。结果两组患者研究组手术时间(85.63±12.34)min较对照组(127.54±16.85)min短,差异有统计学意义(t=12.206,P=0.000<0.05);研究组出血量(223.74±32.54)mL较对照组(425.17±46.87)mL少,差异有统计学意义(t=21.474,P=0.000<0.05),研究组住院时间(7.64±0.53)d较对照组(10.65±0.48)d少,,差异有统计学意义(t=25.605,P=0.000<0.05);在并发症发生率方面,研究组是5.41%,对照组是24.32%,研究组明显低于对照组并发症,差异有统计学意义(χ2=5.232,P=0.022<0.05)。结论食道癌疾病治疗过程中,管状胃根治手术治疗效果显著优于传统手术治疗方案,不仅可以减轻患者临床病症,缩短治疗及住院时间,同时有助于增强患者肺功能,避免其他疾病的发生,值得推广并采纳。

Objective To investigate the effects of different surgical treatments for patients with esophageal cancer.Methods 74 patients with esophageal cancer were convenienty selected in this hospital and Huai'an First People's Hospital from February 2015 to November 2018.Patients with esophageal cancer were divided into two groups according to the admission number,double number and patient's wishes.In each group of 37 patients,the control group underwent conventional surgical treatment,and the study group received tubular gastrectomy.The complication rate,hospitalization time,bleeding volume and operation time were counted.Results The operation time of the study group(85.63±12.34)min was shorter than that of the control group(127.54±16.85)min,the difference was statistically significant(t=12.206,P=0.000<0.05).The amount of bleeding(223.74±32.54)mL in the study group was less than that of the control group(425.17±46.87)mL,the difference was statistically significant(t=21.474,P=0.000<0.05),and the length of hospital stay in the study group(7.64±0.53)d was lower than that of the control group(10.65±0.48)d.the difference was statistically significant(t=25.605,P=0.000<0.05);in the incidence of complications,the study group was 5.41%,the control group was 24.32%,the study group was significantly lower than the control group the difference was statistically significant(χ2=5.232,P=0.022<0.05).Conclusion In the treatment of esophageal cancer diseases,the effect of tubular gastric radical surgery is significantly better than traditional surgical treatment,which can not only reduce the clinical symptoms of patients,shorten the treatment and hospitalization time,but also help to enhance the lung function of patients and avoid other diseases.It is worth promoting and adopting.