CAJ | 학술논문

目的对早期食管癌患者手术治疗后发生吻合口及残端局部复发的因素进行分析. 方法随机选取2013年1月-2015年1月在该院进行手术治疗的早期食管癌患者80例,从性别、肿瘤部位、病灶大小、组织类型、浸润深度、局部淋巴结转移、临床分期等方面分析与局部复发的影响因素. 结果食管残端复发者占43.75%,吻合口复发者51.25%,残端及吻合口复发占3.75%;吻合口、食管残端平均复发时间16.2个月;浸润深度、局部淋巴结转移、临床分期是局部复发的独立危险因素(P<0.05). 结论浸润深度、局部淋巴结转移、临床分期是早期食管癌术后局部复发的独立危险因素,术后应密切随访.
목적 대조기식관암환자수술치료후발생문합구급잔단국부복발적인소진행분석. 방법 수궤선취2013년1월-2015년1월재해원진행수술치료적조기식관암환자80례,종성별、종류부위、병조대소、조직류형、침윤심도、국부림파결전이、림상분기등방면분석여국부복발적영향인소. 결과 식관잔단복발자점43.75%,문합구복발자51.25%,잔단급문합구복발점3.75%;문합구、식관잔단평균복발시간16.2개월;침윤심도、국부림파결전이、림상분기시국부복발적독립위험인소(P<0.05). 결론 침윤심도、국부림파결전이、림상분기시조기식관암술후국부복발적독립위험인소,술후응밀절수방.
Objective To analyze the factors causing recurrence in esophageal anastomosis and stump after early esophageal can-cer surgery. Methods Eighty cases underwent early esophageal cancer surgery in our hospital from January 2013 to January 2015 were selected. An analysis was conducted on the correlation of gender, tumor site, focal size, organization type, infiltration depth, local lymph node metastasis and clinical stage with the local recurrence in esophageal anastomosis and stump. Results Patients with esophageal stump recurrence accounted for 43.75%, those with anastomotic recurrence accounted for 51.25% and those with recurrence in esophageal anastomosis and stump accounted for 3.75%. The average time of recurrence in esophageal anastomosis and stump was 16.2 months. Infiltration depth, local lymph node metastasis and clinical stage are independent risk factors of recur-rence in esophageal anastomosis and stump (P<0.05). Conclusion Infiltration depth, local lymph node metastasis and clinical stage are the independent risk factors of local recurrence in esophageal anastomosis and stump after early esophageal cancer surgery. The patients underwent the surgery should be followed up closely.