摘要
目的:探讨食管癌术中在食管床放置纵隔引流管对患者术后并发症尤其是吻合口瘘的临床治疗作用。方法:回顾分析420例食管癌手术患者,按照术中是否放置了纵隔引流管分为试验组和对照组,其中试验组220例放置了纵隔引流管、对照组200例未放置纵隔引流管,观察两组患者吻合口瘘的的发生率、吻合口瘘的确诊时间、瘘发生后的治愈时间及两组患者心肺并发症发生的情况。结果:试验组的吻合口瘘发生率5.5%,对照组吻合口瘘发生率6.0%,两组间吻合口瘘发生率差异无统计学意义,P>0.05;两组患者吻合口瘘的确诊时间差异有统计学意义,P<0.01,其中术中未置纵隔引流管患者的确诊时间要长于试验组患者;观察两组患者瘘的治愈时间,对照组患者所需时间显著多于试验组,两组之间差异有统计学意义,P<0.01;在心肺并发症方面对照组发生的比率显著高于试验组,差异有统计学意义,P<0.05。结论:食管癌术中放置纵隔引流管可以早期发现吻合口瘘的发生,缩短瘘的治愈时间,降低心肺并发症的发生。
Objective： To explore the therapeutic effects of mediastinal drainage on patients with esophageal cancer after surgery. Methods： 420 cases with esophageal cancer after surgery were retrospectively analysed. 420 cases were divided into trial group （220 cases） with mediastinal drainage and control group （200 cases） without mediastinal drainage based on the treatment. The incidence rate, the diagnosis time and the cure time of anastomotic leakage and cardiopulmonary complications of two groups were recorded. Results： The incidence rate of anastomotic leakage was 5.5% in trial group and 6.0% in control group, there was no difference between two groups, P 〉 0.05. The diagnosis time and cure time of anastomotic leakage of control group were longer than those of trial group, P 〈 0. 01. The complications of trial group Conclusion： Mediastinal drainage can diagnose anastomotic complications of esophageal cancer after surgery. were less than those of control group, P 〈 0. 05. leakage early, shorten the cure time and lessen the
出处
《现代医学》
2015年第11期1373-1375,共3页
Modern Medical Journal
关键词
纵隔引流
食管癌
吻合口瘘
mediastinal drainage
esophageal cancer
anastomotic leakage
