【摘要】 目的探讨改良法颈胸腹三切口手术治疗食管癌患者的安全隐患及对策。方法随机选取本院2010年3月—2013年3月间的50例食管癌患者,并随机分为对照组和研究组两组,对照组实施传统开胸手术,研究组实施改良法颈胸腹三切口手术,对比两组患者手术出血量、手术时间和疼痛评分,并观察颈部吻合口瘘发生率。结果研究组患者手术出血量、手术时间和疼痛评分明显优于对照组,差异有统计学意义(P<0.05);术后研究组患者颈部吻合口瘘发生率明显高于对照组,差异具有统计学意义(P<0.05)。结论改良法颈胸腹三切口手术治疗食管癌患者效果良好,但是需要加强术中操作,降低颈部吻合口瘘发生。更多还原

【Abstract】 Objective: to study the improvement method of chest neck three incision surgery safety problems and countermeasures for the treatment of patients with esophageal cancer. Methods: randomly selected in our hospital in March 2010-2013 and march of 50 patients with esophageal cancer, and randomly divided into control group and the team in the two groups, control group to implement the traditional open heart surgery, the team to implement improvement method three incision surgical neck, chest, compared two groups of patients with blood loss, operating time and pain scores, and to observe the incidence of cervical anastomotic fistula. Results: the group patients with blood loss, operating time and pain score was better than control group, the difference was statistically significant(P < 0.05); Team after surgery in patients with cervical anastomotic fistula rate is significantly higher than the control group, the difference statistically significant(P < 0.05). Conclusion: the improved method of cervical chest three incision surgical treatment of patients with esophageal cancer effect is good, but need to strengthen in operation, lower cervical anastomotic fistula occurred.更多还原