摘要
目的 :研究食管癌放疗后手术分期施行的临床价值。方法 :分析我院食管癌放疗后手术 1期组 ( 5 6例 )与分期组 ( 15 6例 ) ,分组以A、B组表示 ,切除率、吻合口瘘、脓胸、心肺并发症、死亡率及综合总并发症发生率。结果 :切除率A组 91% ,B组 94% ,P >0 0 5 ;吻合口瘘A组 6例 ,B组 6例 ,P >0 0 5 ;脓胸A组 3例 ,B组未发生 ;呼吸衰竭发生A组 3例 ,B组 6例 ,P >0 0 5 ;呼吸功能不全A组 12例 ,B组 2 1例 ,P >0 0 5 ;严重心律失常A组 2 1例 ,B组 18例 ,P <0 0 5 ;死亡A组 7例 ,B组 5例 ,P <0 0 5 ;综合总并发症A组 45例次 ,B组 5 1例次 ,χ[4] =3 5 6 79,P >0 0 5。结论 :食管癌放疗后手术 ,根据患者病情分期施行 ,可明显降低手术死亡率、严重心律失常、脓胸的发生 。
Purpose:To study the clinical value of application of surgery by stages after radiotherapy of carcinoma of esophagus. Methods:Resectablity rate,anastomotic fistula,pyothorax,cardio pulmonary complication, mortality rate and total complication occurrence rate were analysed in operations of one stage group (56 cases) and by stages group (14 cases) patients after radio therapy of carcinoma of esophagus, which were designate as A,B group respectively.Results:Resectability rate group A 91%, group B 94%, P >0 05;anastomotic fistula group A 6 cases, group B 6 cases, P >0 05; pyothorax group A 3 cases, group B no occurrence; respiratory failure group A 3 cases, group B 6 cases, P >0 05;respiratory insufficieycy group A 12 cases, group B 21 cases, P >0 05;severe cardiac arrhythmia group A 21 cases, group B 18 cases, P <0 05;death group A 7 cases, group B 5 cases, P <0 05; total complications group A 45 times, group B 51 times. X [4] =3 5679, P >0 05 Conclusions:According to the patients' condition, the application of surgery by stages after radiotherapy of carcinoma of esophagus could remarkably reduce the operative mortality rate,severec cardiac arrhythmia, pyothorax occrrcence and also diminish the patients' discomfort and financial expenses.
出处
《中国癌症杂志》
CAS
CSCD
2000年第5期421-422,共2页
China Oncology
关键词
食管肿瘤
放疗
外科手术
分期治疗
surgery by stages
radiotherapy
carcinoma of esophagus
