2015 年第 1 期 第 13 卷

管状胃食管吻合术对食管癌根治术患者生活质量的影响

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关键词：管状胃食管吻合术食管癌根治术生活质量

• 摘要：
• 【摘要】摘要 目的 探讨管状胃食管吻合术对食管癌根治术患者生活质量的影响。方法 将86例食管癌根治术患者随机分为两组，分别采用管状胃食管吻合术全胃食管吻合术治疗，比较两组围手术期情况、术后并发症发生率、12个月时生活质量评分、满意度及各个功能区评分。结果两组手术时间、术中出血量、清扫淋巴结数量、术后引流量及术后住院时间差异均无统计学意义（P＞0.05）；研究组反流性食管炎、胸胃综合征发生率低于对照组（7.0%vs44.2%，2.3%vs14.0%，P＜0.05）；出院后12个月研究组生活质量评分和满意度均高于对照组[（82.6±10.4）分vs（73.8±9.9）分，48.8%vs27.9%，P＜0.05]。研究组FD、SD测评功能区评分低于对照组[（14.4±1.2）分vs（15.3±1.1）分，（14.5±1.2）分vs（15.6±1.4）分，P＜0.05]，AD、MF、SA测评功能区评分高于对照组[（21.7±2.3）分vs（18.9±2.6）分，（12.6±1.1）分vs（11.8±1.2）分，（8.2±0.7）分vs（7.6±0.8）分，P＜0.05]。结论 管状胃食管吻合术可降低食管癌术后并发症发生率，有效改善患者术后生活质量。
• Abstract Objective To investigate the?influence of?the gastric tube?gastroesophagostomy on life quality of the patients after radical surgery for esophageal carcinoma. Methods 86?patients after radical surgery for esophageal carcinoma were randomly divided?into two groups,? and they were treated with the gastric tube?gastroesophagostomy and total gastroesophagostomy ,?compared the occurrence of??perioperation?period and complications?after surgery of two groups,?and compared the life quality score in 12?months, the scores of the satisfaction and?all?functional zones.? Results ?There were not statistically significant? differences in operation time, intraoperative blood loss,?number of?lymph node dissection, postoperative drainage?and postoperative hospitalization time (P > 0.05);? The occurrence rate of the reflux esophagitis,?thoracic gastric?syndrome of the study group? were lower than those of the control group?（7.0%vs44.2%，2.3%vs14.0%，P＜0.05）；?the ?score of life quality and?satisfactionare in 12 months of?the study group were higher than those of the control group[（82.6±10.4）score vs（73.8±9.9）score，48.8%vs27.9%，P＜0.05].?The scores?of function zones by FD, SD?were lower than those of the control group?[（14.4±1.2）score vs（15.3±1.1）score，（14.5±1.2）score vs（15.6±1.4）score，P＜0.05],?the scores?of function zones by AD,?MF,?SA were higher than those of the control group?[（21.7±2.3）score vs（18.9±2.6）score，（12.6±1.1）score vs（11.8±1.2）score，（8.2±0.7）score vs（7.6±0.8）score，P＜0.05]. Conclusion?The gastric tube?gastroesophagostomy for reconstructive alimentary canal after esophageal carcinoma can reduce post operation complication, and it can improve the life quality of the patients after surgery.