CAJ | 학술논문

目的比较两种消化道重建方式对于食管癌患者围手术期及术后生活质量的影响.方法对177例行食管癌根治术并术后存活1年以上的患者,根据术中是否行管状胃成形术分为管胃组和全胃组.观察记录两组患者围手术期各项指标,以问卷形式比较患者术后1年的生活质量.结果两组在手术时间、术后住院时间、胸腔及胃肠减压引流量的差异无统计学意义(P＞0.05),管胃组在反流性食管炎发生率方面显著低于全胃组(P＜0.05),在术后生活质量测评总分及满意度方面均高于全胃组(P＜0.05).结论管状胃成形术适用于食管癌手术消化道重建.
목적 비교량충소화도중건방식대우식관암환자위수술기급술후생활질량적영향.방법 대177례행식관암근치술병술후존활1년이상적환자,근거술중시부행관상위성형술분위관위조화전위조.관찰기록량조환자위수술기각항지표,이문권형식비교환자술후1년적생활질량.결과 량조재수술시간、술후주원시간、흉강급위장감압인류량적차이무통계학의의(P＞0.05),관위조재반류성식관염발생솔방면현저저우전위조(P＜0.05),재술후생활질량측평총분급만의도방면균고우전위조(P＜0.05).결론 관상위성형술괄용우식관암수술소화도중건.
Objective To investigate the quality of life (QoL) after oesophagectomy for cancer by comparing the method of reconstruction (gastric tube vs.whole stomach).Methods A retrospectively study was carried out on 177 patients who underwent oesophagectomy for cancer and postoperative survival time was ≥ 1 year.The patients were divided into gastric tube (GT) group and whole stomach (WS) group.The clinical data were collected.A questionnaire which reflected the postoperative QoL by 20 indicators constitute,was administered at 1 year after surgery.Results There was no statistically significant difference in operative time,postoperative hospital stay,postoperative thoracic drainage and gastrointestinal decompression drainage between two groups (P ＞ 0.05).The incidence of anastomotic fistula and reflux esophagitis in GT group was significantly lower than in WS group (P ＜ 0.05).The QoL scores in GT group were significantly higher than in WS group (P ＜ 0.05).Conclusion Gastric tube is worth popularizing and applying.