国际肿瘤学杂志
國際腫瘤學雜誌
국제종류학잡지
JOURNAL OF INTERNATIONAL ONCOLOGY
2015年
6期
419-421
,共3页
马永富%褚剑%侯晓彬%李捷%张涛%郭俊唐%杨博%李敏%梁朝阳%刘阳
馬永富%褚劍%侯曉彬%李捷%張濤%郭俊唐%楊博%李敏%樑朝暘%劉暘
마영부%저검%후효빈%리첩%장도%곽준당%양박%리민%량조양%류양
食管肿瘤%外科手术%治疗效果%生存率
食管腫瘤%外科手術%治療效果%生存率
식관종류%외과수술%치료효과%생존솔
Esophageal neoplasms%Surgical procedures,operative%Treatment outcome%Survival rate
目的:分析根治性外科手术对早期食管癌的治疗效果,探讨术后并发症与食管癌复发、转移的防治。方法回顾性分析解放军总医院2005年1月—2009年1月240例早期食管癌患者的治疗情况。患者均采用经左侧开胸,胸内或颈部机械吻合术的外科手术方法进行治疗,对其术后不良反应、并发症及1、3、5年生存率进行观察分析。结果手术切除率100.00%。术后发生肺部感染12例(5.00%),心率失常1例(0.42%),胃排空障碍2例(0.83%),胸腔内出血1例(0.42%),喉返神经损伤2例(0.83%),吻合口瘘1例(0.42%)。术后1、3、5年生存率分别为100.00%(240/240)、97.92%(235/240)、95.83%(230/240)。术后死亡的主要原因是肿瘤的复发和转移。结论早期食管癌通过及时外科手术治疗,手术效果良好,并发症较少,能够获得很好的远期疗效。
目的:分析根治性外科手術對早期食管癌的治療效果,探討術後併髮癥與食管癌複髮、轉移的防治。方法迴顧性分析解放軍總醫院2005年1月—2009年1月240例早期食管癌患者的治療情況。患者均採用經左側開胸,胸內或頸部機械吻閤術的外科手術方法進行治療,對其術後不良反應、併髮癥及1、3、5年生存率進行觀察分析。結果手術切除率100.00%。術後髮生肺部感染12例(5.00%),心率失常1例(0.42%),胃排空障礙2例(0.83%),胸腔內齣血1例(0.42%),喉返神經損傷2例(0.83%),吻閤口瘺1例(0.42%)。術後1、3、5年生存率分彆為100.00%(240/240)、97.92%(235/240)、95.83%(230/240)。術後死亡的主要原因是腫瘤的複髮和轉移。結論早期食管癌通過及時外科手術治療,手術效果良好,併髮癥較少,能夠穫得很好的遠期療效。
목적:분석근치성외과수술대조기식관암적치료효과,탐토술후병발증여식관암복발、전이적방치。방법회고성분석해방군총의원2005년1월—2009년1월240례조기식관암환자적치료정황。환자균채용경좌측개흉,흉내혹경부궤계문합술적외과수술방법진행치료,대기술후불량반응、병발증급1、3、5년생존솔진행관찰분석。결과수술절제솔100.00%。술후발생폐부감염12례(5.00%),심솔실상1례(0.42%),위배공장애2례(0.83%),흉강내출혈1례(0.42%),후반신경손상2례(0.83%),문합구루1례(0.42%)。술후1、3、5년생존솔분별위100.00%(240/240)、97.92%(235/240)、95.83%(230/240)。술후사망적주요원인시종류적복발화전이。결론조기식관암통과급시외과수술치료,수술효과량호,병발증교소,능구획득흔호적원기료효。
Objective To study the effects of radical surgical treatment for early esophageal cancer, and to investigate the prevention and cure of their complications,cancer recurrence and metastasis.Methods Treatments of 240 patients with early esophageal cancer of Chinese PLA General Hospital from January 2005 to January 2009 were retrospectively analyzed.The patients were treated by left thoracotomy,thoracic or cervical mechanical anastomosis surgical methods of treatment.Their postoperative adverse reactions,complications and 1 -,3-,5-year survival rates were observed and analyzed.Results The surgical resection rate was 1 00.00%. Complications included postoperative pulmonary infection (1 2 patients,5.00%), cardiac arrhythmias (1 patient,0.42%),delayed gastric emptying (2 patients,0.83%),pleural hemorrhage (1 patient, 0.42%),recurrent laryngeal nerve injury (2 patients,0.83%)and anastomotic fistula (1 patient,0.42%). One-year,3-year and 5-year survival rates after surgery were 1 00.00% (240 /240),97.9% (235 /240)and 95.8% (230 /240)respectively.The main causes of postoperative death were tumor recurrence and metastasis. Conclusion Timely surgery for early esophageal cancer can bring in good effect and long-term outcome,with little complication,which can obtain a good forward curative effect.