摘要
目的:探讨食管癌合并糖尿病的围手术期处理方法和外科治疗效果,为该病的临床治疗提供指导。方法:对49例食管癌合并糖尿病患者,采用控制血糖结合手术切除肿瘤治疗;选取49例同期非糖尿病食管癌患者做参比。手术前后采取个性化心理护理,分析比较两组的治疗效果。结果:所有患者手术切除率为100%,无围手术期死亡。食管癌合并糖尿病组术后并发症7例,包括吻合口瘘2例,肺部感染2例,单纯脓胸1例,切口感染2例,均经治疗后痊愈;同期非糖尿病食管癌组手术并发症2例:肺部感染1例,切口感染1例。采用个性化心理护理前后,两组患者的消极、焦虑、恐惧等不良心理得到明显的缓解,对手术效果及围手术期处理效果总满意度达95%。结论:糖尿病引起代谢紊乱易发生愈合不良及各种感染,使术后并发症发生率显著高于同期非糖尿病患者。因此在合并糖尿病的食管癌外科治疗中,围手术期处理至关重要。
Objective：To explore the perioperative treatment in the patients of esophageal cancer combined with diabetes.Methods：Blood sugar was controlled when operation was taken to remove the tumor for 49 cases of esophageal cancer combined with diabetes.Forty-nine cases of non-diabetes patients with esophageal cancer at the same period were selected as the control group.Individualized psychological care was carried out before and after the congress,and analysis and comparison of therapeutic effect were carried between the two groups.Results：The rate of surgical removal is 100 percentages in all cases,and no perioperative death was reported in this study.The postoperative complications were developed in 7 cases,including anastomotic fistula in 2 cases,lung inflammation in 2 cases,simple empyema in 1 case,incision infection in 2 cases,and all were cured after conservative therapy.There were two complications in the non-diabetic group,one lung infection,and one incision infection.After individualized psychological care,the unhealthy mental ap-pearance in two groups such as the negative,anxiety and fear were obviously relieved.The effect of processing results in operation got up to 95% of total satisfaction.Conclusion：Diabetic patients are susceptible to bad cure and infections because of metabolism disorder,which makes the rate of postoperative complication markedly higher than that of non-diabetes.Therefore,it is of vital importance to deal with the perioperative management in diabetes combined with esophageal cancer.
出处
《现代生物医学进展》
CAS
2010年第21期4125-4127,共3页
Progress in Modern Biomedicine
关键词
食管癌
糖尿病
围手术期
Esophageal carcer
Diabetes
Perioperative treatment
