目的：探索食管癌切除术后管状胃与全胃代食管吻合对患者肺功能的影响。方法方便选取该院2013年6月—2015年6月间接诊的拟行食管癌切除术的160例食管癌患者,随机分成对照组与实验组,各80例。对照组行全胃代食管吻合,实验组行管状胃代食管吻合,观察两组患者术前、术后6月时的肺功能情况。结果对照组患者术后6月时肺功能指标：VC为(68.43±16.12)%,FVC为(69.28±14.76)%,FEVI为(71.63±15.76)%,MVV为(76.43±13.76)%,与术前和实验组术后6月时相比均明显较低(P<0.05)。实验组患者术后6月时的肺功能指标：VC为(84.26±9.12)%, FVC为(86.13±13.76)%,FEVI为(95.43±17.62)%,MVV为(95.16±14.53)%,与术前相比虽然有所降低,但差异无统计学意义(P>0.05)。结论管状胃代食管吻合术对食管癌切除术后患者肺功能的影响更小。%Objective To probe into and analyze the influence of patients of pulmonary function in tubular stomach and whole stomach esophagus after resection of esophageal carcinoma. Methods Convenient selection 160 patients with esophageal carcinoma and who underwent the esophagectomy cer were randomly divided into the control group and the ex-perimental group, with 80 patients in each group. In the control group were treated with the whole stomach esophagus anas-tomosis while in the experimental group were treated with tubular stomach anastomosis.Then,the pulmonary function of two group of patients were observed before operation and after the operation of 6 months. Results The control group patients 6 months after lung function index: VC(68.43 ± 16.12)% and FVC for (69.28±14.76)%, FEV1 for (71.63 ± 15.76)%, MVV for (76.43 ± 13.76)%, compared with 6 months before surgery and to the patients in the experiment group were significantly lower (P< 0.05). Patients in experimental group after 6 months of lung function index: VC (84.26 ± 9.12)% and FVC for (86.13 ± 13.76)%, FEV1 for (95.43 ± 17.62)%, MVV for (95.16 ± 14.53)%, and preoperative compared although with some-what lower, but the difference was not statistically significant (P> 0.05). Conclusion The influence of the tubular gastric anastomosis on the lung function of patients with esophageal cancer after resection of esophageal cancer is smaller.
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