目的 比较管状胃代食管及全胃代食管的食管重建方式对食管癌患者术后并发症和生活质量的影响.方法 回顾性分析152例接受食管癌根治术的食管癌患者临床资料,其中96例行管状胃代食管重建(管状胃组),56例行全胃代食管重建(全胃组).比较两组的术后并发症发生率,以及术前、术后1个月、6个月、12个月及36个月患者的生活质量.结果 管状胃组胃排空延迟及反流发生率、并发症总发生率均低于全胃组(均P＜0.05).术后6个月、12个月及36个月,管状胃组的躯体、角色、社会功能及总体症状得分均优于全胃组(均P＜0.05).结论 与全胃代食管重建比较,管状胃代食管重建能有效地减少患者术后胃排空障碍及反流的发生,一定程度上改善患者术后生存质量.%Objective To compare the influence on postoperative complications and quality of life in the patients with esophageal carcinoma between esophageal reconstruction using gastric tube and whole stomach.Methods The clinical data of 152 esophageal carcinoma patients receiving the radical resection of esophageal carcinoma were retrospectively analyzed. Of 152 patients,96 underwent esophageal reconstruction with gastric tube(gastric tube group) and 56 with whole stomach(whole stomach group).The incidence rate of postoperative complications,and the preoperative,postoperative 1-month,6-month,12-month and 36-month quality of life were compared between the two groups.Results The incidence rates of gastroesophageal reflux disease and delayed gastric emptying and the total incidence rate of complications were significantly higher in the whole stomach group compared to the gastric tube group(all P＜0.05).After 6,12 and 36 months of operation,the scores of physical function,role function,social function and overall symptomatic dimensions in the gastric tube group were superior to those in the whole stomach group(all P＜0.05).Conclusion Compared to the esophageal reconstruction with whole stomach,the esophageal reconstruction with gastric tube can effectively reduce the incidence of gastroesophageal reflux disease and delayed gastric emptying,and improve the postoperative quality of life of the patients to some extent.
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