【摘要】 目的分析食管癌的临床手术治疗方式与效果。方法本组研究对象为46例食管癌手术患者,病变位于食管上段12例,食管中段28例,食管下段6例;二切口手术21例,三切口25例。结果近期并发症发生率二切口组术后为9.5%,三切口组为36.0%,差异有显著性(P=0.030),两组均无术中死亡及住院死亡;二切口组术后1,3年生存率分别为84.2%和57.1%,三切口组分别为77.3%和50.0%。两组1,3年生存率比较无统计学差异(P>0.05)。结论手术采用三切口与二切口具有各自的优点与适用范围,需根据病变的具体情况而定;无论二切口还是三切口,采用颈部吻合都是较好的选择。更多还原

【Abstract】 Objective To analyze the clinical operative measures and efficacy of esophageal cancer treatment.Methods Forty-six patients with esophageal cancer were chosen for the study.Of them 12 had lesions located in the upper esophagus,28 located in the middle and 6 located in the lower esophagus.Operations of 21 cases used two incisions and 25 cases used three incisions.Results The incidence of postoperative complications in two incision group was 9.5% and three incision group 36.0%.The difference had significance(P=0.030).Neither group had intraoperative death and in hospital death.The survival rate of two incision group after 1 and 3 years were 84.2% and 57.1% respectively,while the three incision group 77.3% and 50.0%.The survival rates after 1 and 3 years of two groups had no statistical difference(P>0.05).Conclusion Three or two incisions in operation with their respective advantages and application area should be decided according to the specific circumstances of disease.Cervical anastomosis is a good choice whether two or three incisions are used.更多还原