右胸径路食管癌根治手术与左胸sweet手术的疗效对比

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1、授予单位代码10089学号或申请号20153507中国图书分类号R655.4HebeiMedicalUniversity硕士学位论文专业学位右胸径路食管癌根治手术与左胸Sweet手术的疗效对比研究生：韩进伟导师：刘俊峰教授专业：外科学二级学院：第四医院2018年3月河北医科大学目录中文摘要············································································································1英文摘要······································

2、······································································2英文缩写············································································································4研究论文右胸径路食管癌根治手术与左胸Sweet手术的疗效对比前言················································································

3、····························5材料与方法································································································5结果············································································································8附图····················································

4、······················································9附表··········································································································11讨论··········································································································16结论···················

5、·······················································································18参考文献·································································································19综述几种食管胃吻合方式及疗效··················································21致谢····································

6、··············································································27个人简历··········································································································28中文摘要右胸径路食管癌根治手术与左胸Sweet手术的疗效对比摘要目的：比较右胸径路食管癌根治术与常规左开胸一切口食管癌切除术（Sweet手术）治疗食管胸中下段癌效果的差异。方法：回顾性分析2010年1月至20

7、15年1月接受经右胸食管癌根治术的125例食管胸中下段癌患者的临床资料，同期357例行常规左胸Sweet手术的食管胸中下段癌患者作为对照。结果：右胸径路手术与左胸Sweet手术患者生存差别无统计学意义。两组淋巴结清扫数目、胸部淋巴结清扫数目、腹腔淋巴结清扫数目、围手术期死亡率差异无统计学意义，右胸组术后平均住院天数高于Sweet手术组，差异有统计学意义。右胸组吻合口瘘、胸腔积液发生率较Sweet组高，差异有统计学意义；呼吸衰竭、乳糜胸、切口愈合