CAJ | 학술논문

目的：探究食管癌切除术中管状胃与全胃代食管对患者术后生活质量的影响。方法选取拟行食管癌切除术患者120例，随机分为实验组（管状胃代食管组）和对照组（全胃代食管组），每组各60例。通过问卷调查的形式比较2组患者术后监护情况、并发症、术后生存率和死亡率以及在术后2周、6个月、1年、2年、3年时的生活质量，统计患者满意度以及生活质量评分。结果2组术后监护情况相比，差异无统计学意义（P＞0．05）。2组生存率比较，累计差异无统计学意义（P＞0．05）。2组患者并发症比较，实验组明显低于对照组，差异具有统计学意义（P＜0．05）。实验组术后呼吸功能强于对照组（P＜0．01）；生活质量上，在6个月和1年时间点上，实验组的满意度和生活质量评分显著高于对照组，差异有统计学意义（P＜0．05），但2年以上2组差异无统计学意义（P＞0．05）。结论管状胃代食管的食管癌手术对于提高患者术后早期生活质量有一定意义。
목적：탐구식관암절제술중관상위여전위대식관대환자술후생활질량적영향。방법선취의행식관암절제술환자120례，수궤분위실험조（관상위대식관조）화대조조（전위대식관조），매조각60례。통과문권조사적형식비교2조환자술후감호정황、병발증、술후생존솔화사망솔이급재술후2주、6개월、1년、2년、3년시적생활질량，통계환자만의도이급생활질량평분。결과2조술후감호정황상비，차이무통계학의의（P＞0．05）。2조생존솔비교，루계차이무통계학의의（P＞0．05）。2조환자병발증비교，실험조명현저우대조조，차이구유통계학의의（P＜0．05）。실험조술후호흡공능강우대조조（P＜0．01）；생활질량상，재6개월화1년시간점상，실험조적만의도화생활질량평분현저고우대조조，차이유통계학의의（P＜0．05），단2년이상2조차이무통계학의의（P＞0．05）。결론관상위대식관적식관암수술대우제고환자술후조기생활질량유일정의의。
Objective To investigate the effect of gastric tube and whole stomach on patients'quality of life after esopha-geal resection .Methods 120 patients treated with esophageal resection were selected and randomly divided into the experimental group(gastric tube group) and the control group(whole stomach group),each group with 60 cases.Postoperative care situation, complications,postoperative survival rates and mortality ,and 2-week,6-month,1-year,2-year,and 3-year quality of life of the 2 groups were compared by questionnaire survey ,counted the satisfaction and quality of life scores .Results Postoperative care sit-uation of the 2 groups had no statistically significant difference (P>0.05).Survival rate of the 2 groups had no statistically sig-nificant difference(P>0.05).The complication rate in the experimental group was significantly lower than that of the control group (P<0.05).The postoperative respiratory function in the experimental group was better than that of the control group (P<0.01).The experimental group's satisfaction and quality of life score were significantly higher than those of the control group at 6 months and 1 year (P<0.05).After 2 years later,the difference in life quality of the 2 groups was not statistically significant (P>0.05).Conclusion Gastric tube in esophageal resection has certain value in improving early postoperative quality of life of patients.