中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
Chinese Journal of Digestive Endoscopy
2015年
7期
435-438
,共4页
雷复华%崔会峰%龚继勇%李提伟%赵德利%尚庆军%李静%王桂霞%宋秀玲
雷複華%崔會峰%龔繼勇%李提偉%趙德利%尚慶軍%李靜%王桂霞%宋秀玲
뢰복화%최회봉%공계용%리제위%조덕리%상경군%리정%왕계하%송수령
早期食管癌%内镜切除术%开放性食管切除术
早期食管癌%內鏡切除術%開放性食管切除術
조기식관암%내경절제술%개방성식관절제술
Early esophageal cancers%Endoscopic resection%Open esophagectomy
目的 对比早期食管癌内镜切除治疗和开放手术治疗的疗效.方法 回顾性总结2008年2月到2013年3月间43例内镜切除治疗(内镜切除组)和29例开放性手术治疗(开放手术组)早期食管癌患者的临床资料,对比分析2组术后并发症发生情况、3年内肿瘤复发情况及术后5年生存率.结果 开放手术组术后发生反流性食管炎11例(37.9%)、食管狭窄7例(24.1%)、吻合口漏1例(3.4%),内镜切除组术后发生反流性食管炎5例(11.6%)、食管狭窄6例(14.0%),内镜切除组术后反流性食管炎发生率明显低于开放手术组(P<0.05).开放手术组术后3年内复发2例(6.9%)、术后5年生存率为82.8% (24/29),内镜切除组术后3年内复发5例(11.6%)、术后5年生存率为86.0%(37/43),2组术后3年内复发率、术后5年生存率均相近(P>0.05).结论 对于早期食管癌患者,内镜切除治疗能获得与开放手术治疗相似的疗效,并能明显减少术后反流性食管炎的发生,改善患者生活质量.
目的 對比早期食管癌內鏡切除治療和開放手術治療的療效.方法 迴顧性總結2008年2月到2013年3月間43例內鏡切除治療(內鏡切除組)和29例開放性手術治療(開放手術組)早期食管癌患者的臨床資料,對比分析2組術後併髮癥髮生情況、3年內腫瘤複髮情況及術後5年生存率.結果 開放手術組術後髮生反流性食管炎11例(37.9%)、食管狹窄7例(24.1%)、吻閤口漏1例(3.4%),內鏡切除組術後髮生反流性食管炎5例(11.6%)、食管狹窄6例(14.0%),內鏡切除組術後反流性食管炎髮生率明顯低于開放手術組(P<0.05).開放手術組術後3年內複髮2例(6.9%)、術後5年生存率為82.8% (24/29),內鏡切除組術後3年內複髮5例(11.6%)、術後5年生存率為86.0%(37/43),2組術後3年內複髮率、術後5年生存率均相近(P>0.05).結論 對于早期食管癌患者,內鏡切除治療能穫得與開放手術治療相似的療效,併能明顯減少術後反流性食管炎的髮生,改善患者生活質量.
목적 대비조기식관암내경절제치료화개방수술치료적료효.방법 회고성총결2008년2월도2013년3월간43례내경절제치료(내경절제조)화29례개방성수술치료(개방수술조)조기식관암환자적림상자료,대비분석2조술후병발증발생정황、3년내종류복발정황급술후5년생존솔.결과 개방수술조술후발생반류성식관염11례(37.9%)、식관협착7례(24.1%)、문합구루1례(3.4%),내경절제조술후발생반류성식관염5례(11.6%)、식관협착6례(14.0%),내경절제조술후반류성식관염발생솔명현저우개방수술조(P<0.05).개방수술조술후3년내복발2례(6.9%)、술후5년생존솔위82.8% (24/29),내경절제조술후3년내복발5례(11.6%)、술후5년생존솔위86.0%(37/43),2조술후3년내복발솔、술후5년생존솔균상근(P>0.05).결론 대우조기식관암환자,내경절제치료능획득여개방수술치료상사적료효,병능명현감소술후반류성식관염적발생,개선환자생활질량.
Objective To compare the value of endoscopic resection and open esophagectomy for early esophageal cancers.Methods A total of 43 endoscopic resections and 29 esophagectomies were performed on 72 patients from February 2008 to March 2013.Postoperative complications (e.g.reflux esophagitis,anastomotic stenosis,and stomal leak),three-year recurrence rate and five-year survival rate were compared.Results The incidence of reflux esophagitis,esophageal stenosis and stomal leak in the esophagectomy group were 37.9% (11/43),24.1% (7/43),3.4% (1/43),while the incidence of reflux esophagitis and esophageal stenosis in the endoscopic resection group were 11.6% (5/29) and 14.0% (6/29) respectively.The incidence of reflux esophagitis in the endoscopic resection group was significantly lower than the open esophagectomy group(P <0.05).There was no significant difference in the 3-year recurrence rate[11.6% (5/43) VS 6.9% (2/29)]or the five-year survival rate[(86.0% (37/43) VS 82.8% (24/29)] between the endoscopic resection group and the esophagectomy group(P > 0.05).Conclusion The endoscopic resection is of the similar effects on early esophageal cancers,compared with open surgery,but can reduce the incidence of postoperative reflux esophagitis and improve the living standard.