摘要
[目的]探讨食管癌、贲门癌合并糖尿病患者的围手术期治疗。[方法]回顾性分析1999年6月至2009年6月中国医学科学院肿瘤医院连续手术治疗的288例食管癌、贲门癌合并糖尿病病例的临床资料,总结围手术期治疗的经验和教训。糖尿病的诊断按照WHO1999年推荐的分型和诊断标准。[结果]全组无酮症酸中毒或高渗性昏迷发生。胸内吻合口瘘的发生率为1.7%(4/235),颈部吻合口瘘的发生率为13.2%(7/53)。切口愈合不良的发生率为6.6%。死亡率为1.7%。[结论]食管癌、贲门癌合并糖尿病患者围手术期严格监测和控制血糖,手术治疗是比较安全的。
[Purpose] To investigate the perioperative management of the patients with esophageal cancer or cardiac cancer（ECCGC） complicated with diabetes mellitus（DM）.[Methods] The clinical data of 288 cases with ECCGC complicated with DM（from June 1999 to June 2009,Cancer Hospital,CAMSPUMC） were collected and analyzed retrospectively.Diagnosis and classification of DM was according to the criteria of 1999 issued by WHO.[Results] There was no ketoacidosis and hyperosmolar coma patient.The incidence of anastomotic leakage on the chest was 1.7%（4/235）,in the neck was 13.2%（7/53）.The poor healing of incision was 6.6%.The mortality was 1.7%.[Conclusions] With closed surveillance of perioperative blood glucose,the surgery for patients with ECCGC complicated with DM is safety.
出处
《肿瘤学杂志》
CAS
2010年第2期127-129,共3页
Journal of Chinese Oncology
关键词
食管肿瘤
贲门肿瘤
糖尿病
外科手术
esophageal neoplasms
cardiac neoplasms
diabetes mellitus
surgical procedures
operative
