CAJ | 학술논문

目的管状胃治疗老年食管癌患者的临床疗效进行分析,评价术后老年患者生活质量和临床安全性. 方法选取我院年龄60～72岁的食管癌患者171例,随机分为治疗组和对照组,治疗组行管状胃治疗,对照组行传统全胃代食管治疗,分别在术后3周、6个月、12个月评价患者生活质量、满意度及管状胃治疗的安全性. 结果 171例食管癌患者手术均获得成功,术后3周治疗组和对照组生活质量评分均较低,治疗组为(67.3±9.6)分,对照组(65.3±8.4)分,两组比较差异无统计学意义(P＞0.05)；术后6个月、术后12个月治疗组生活质量评分分别为(89.2±8.3)分和(90.3±9.6)分,对照组分别为(66.5±10.4)分和(60.5±11.2)分,差异均有统计学意义(t=4.476,P＜0.05).治疗组术后并发症发生率仅为6.9％,对照组为30.6％,两组比较差异有统计学意义(x2=18.43,P＜0.01).治疗组和对照组术后3周满意度比较,差异无统计学意义(P＞0.05)；术后6个月和12个月的满意度比较,差异有统计学意义(P＜0.05). 结论管状胃治疗老年食管癌患者,可有效改善患者的生活质量,并能有效预防术后并发症的发生,值得临床推广.
목적 관상위치료노년식관암환자적림상료효진행분석,평개술후노년환자생활질량화림상안전성. 방법 선취아원년령60～72세적식관암환자171례,수궤분위치료조화대조조,치료조행관상위치료,대조조행전통전위대식관치료,분별재술후3주、6개월、12개월평개환자생활질량、만의도급관상위치료적안전성. 결과 171례식관암환자수술균획득성공,술후3주치료조화대조조생활질량평분균교저,치료조위(67.3±9.6)분,대조조(65.3±8.4)분,량조비교차이무통계학의의(P＞0.05)；술후6개월、술후12개월치료조생활질량평분분별위(89.2±8.3)분화(90.3±9.6)분,대조조분별위(66.5±10.4)분화(60.5±11.2)분,차이균유통계학의의(t=4.476,P＜0.05).치료조술후병발증발생솔부위6.9％,대조조위30.6％,량조비교차이유통계학의의(x2=18.43,P＜0.01).치료조화대조조술후3주만의도비교,차이무통계학의의(P＞0.05)；술후6개월화12개월적만의도비교,차이유통계학의의(P＜0.05). 결론 관상위치료노년식관암환자,가유효개선환자적생활질량,병능유효예방술후병발증적발생,치득림상추엄.
Objective To analyze clinical effects of gastric tube operation for treatment of esophageal cancer in elderly patients and evaluate its clinical efficacy and safety.Methods A total of 171 patients aged 60-72 years with esophageal cancer in our hospital were selected.They were randomly divided into treatment group and control group.Treatment group was treated with gastric tube operation,and control group was traditionally treated with complete replacement of esophagus with stomach.The quality of life,patient satisfaction and safety of operation were evaluated after 3 weeks,6 months and 12 months after operation,respectively.Results The operation for esophageal cancer in 171 patients were successful.At 3 weeks after the operation,the score of life quality in treatment group and control group were both low [(67.3±9.6) vs.(65.3±8.4)],and there were no significant differences between the two groups (P＞0.05).At 6 months and 12 months after operation,the scores of life quality were (89.2±8.3) and (90.3±9.6) in treatment group,and (66.5± 10.4) and (60.5 ± 11.2) in contol group,respectively.There were statistical differences between the two groups after 6 months and 12 months of operation (P＜0.05).The complication rate in treatment group (6.9％) was much lower than that in control group (30.6％),and there were significant differences between the two groups (x2 =18.43,P＜0.01).The patient satisfaction was in no differences between the two groups at 3 weeks after operation (P＞ 0.05),while there were statistically significant differences at 6 and 12 weeks after the operation (P＜0.05).Conclusions Gastric tube operation in treatment of elderly patients with esophageal cancer,can effectively improve the life quality,and prevent the occurrence of postoperative complications,which is worthy of clinical application.