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时间:2020-04-12
《《管状胃代食管对食管癌患者术后生活质量影响的研究》.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·18O·滨州医学院学报2015年6月第38卷第3期BMUJournal,Jun.2Ol5,Vo1.38,No.3管状胃代食管对食管癌患者术后生活质量影响的研究刘建伟徐海涛张敬敬张连国高学军张庆广滨州医学院附属医院胸外科滨州256600【摘要】目的探讨管状胃与全胃代食管两种上消化道重建方式对食管癌切除术后患者生活质量状况影响。方法7O例食管癌患者随机分为管状胃代食管组和全胃代食管组,分别比较两组患者手术后短期并发症及术后1、6、12个月时的生活质量。结果两组患者手术并发症、围手术期死亡率无显著性差异。管状胃组术后反流性食管
2、炎及胸胃综合征等并发症显著少于全胃组。术后1个月两组患者生活质量均较低,术后1个月两组患者Q0I评分及满意度无明显差异;管状胃组术后6、l2个月Q()I评分及满意度均优于全胃组。结论管状胃代食管行食管癌切除术,其术后近期并发症及术后死亡率与全胃代食管手术无明确差异,但明显降低了术后并发症发生率。【关键词】管状胃;食管癌;外科手术;生活质量【中图分类号1R655.4【文献标志码】A【文章编号】1001-9510(2015)03018003Effectsofgastrictubereconstructionafteresoph
3、agealresectiononpostoperativelifequalityofpatientswithesophagealcarcinomaLIUJianweiXUHaitaoZHANGJingjingZHANGLianguoGAOXuejunZHANGQingguangDepartmentofThoracicSurgery,theAffiliatedHospitalofBinzhouMedicalUniversity,Binzhou256603[Abstract]ObjectiveToinvestigatethee
4、ffectofgastrictubeandwholestomachreconstructiononthelifequalityofpatientswithesophagealcarcinomaafteresophagealresection.Methods70patientswithesophagealcarcinomaunderwentesophagectomywereenrolledanddividedintogastrictube(GT)groupandwholestomach(WS)group.Theperiope
5、rativecomplicationsandthequalityoflifeat1st,6thand12thmonthaftersurgeryinthetwogroupswererespectivelyevaluated.ResultsTherewasnosignificantdifferenceinthecomplicationsandthemortalityduringtheperioperativeperiodinthetwogroupsTheinci.denceofrefluxesophagitisandtheth
6、oracicstomachsyndromeintheGTgroupwerelessthanintheWSgroupsignificantly.Thelifequalityofpatientsinbothgroupswaspoorin1stmonthpostoperative,andtherewasnosignificantdifferencesintheQOLscoreandthesatisfacationdegreeinthetwogroups.TheQOIscoreandthesatisfactiondegreeofG
7、Tgroupin6monthsand12monthspostoperativewerebetterthanthatoftheWSgroup.ConclusionTherewerenosignificantdifferencesinthemortalityrateandcomplicationrateduringtheperioperativeperiodinGTgroupandWSgroup,Buttheprobabilitiesofpostoperativecomplicationsweresignificantlyre
8、duced.[Keywords]gastrictube,esophagealcarcinoma,surgicaloperation,qualityoflife在肿瘤外科中,患者术后的生活质量越来越被1材料与方法重视,现已是反映治疗效果的一项重要指标口]。食1.1研究对象滨州医学院附属医院胸外科2011管
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