食管空肠吻合术与横结肠间置术治疗胃癌与食管下段癌的效果比较

王晓刚1 ，王宪文1，张维征1，宋涛2

（1. 陕西省蒲城县医院，陕西 渭南，715500；2. 西安医学院第二附属医院普外科，陕西 西安，710000）

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摘要：

目的 对比食管空肠吻合术与横结肠间置术治疗胃癌与食管下段癌的临床效果。方法 选取2014年12月至2015年12月我院收治的胃癌与食管下段癌患者100 例作为研究对象，根据随机数字表法分为甲组和乙组，每组50 例。甲组给 予食管空肠吻合术治疗；乙组给予横结肠间置术治疗。随访1 年，比较两组手术患者的临床效果及并发症发生情况。结果 乙 组患者的血红蛋白、血浆蛋白及体质量比值均高于甲组（P<0.05）；乙组患者术后并发症总发生率（2.0%）显著低于甲组（18.0%），差异具有统计学意义（P<0.05）。结论 对胃癌与食管下段癌患者积极实施横结肠间置术治疗，疗效显著，术后并 发症发生率低，临床应用价值高。

关键词：胃癌；食管下段癌；食管空肠吻合术；横结肠间置术

中图分类号：R735文献标志码：A文章编号：2096-1413(2017)35-0012-02

Therapeutic effects comparison of esophagojejunostomy and colon interposition in the treatment of gastric cancer and lower esophageal cancer
WANG Xiao-gang 1, WANG Xian-wen 1, ZHANG Wei-zheng 1, SONG Tao 2
(1. Pucheng County Hospital, Weinan 715500; 2. General Surgery Department, the Second Affiliated Hospital of Xi``an Medical College, Xi``an 710000, China)

ABSTRACT: Objective To compare the therapeutic effects of esophagojejunostomy and colon interposition in the treatment of gastric cancer and lower esophageal cancer. Methods From December 2014 to December 2015, 100 patients with gastric cancer or lower esophageal cancer in our hospital were selected as the research objects and divided into group A and group B according to random number table method, with 50 cases in each group. The group A was treated with esophagojejunostomy and group B was treated with colon interposition. After one year follow-up, the clinical effect and complications between the two groups were compared. Results The levels of hemoglobin, plasma protein and body mass ratio in the group B were higher than those in the group A (P<0.05); the total incidence rate of postoperative complications in the group B was 2.0%, which was significantly lower than 18.0% in the group A, the difference was statistically significant (P<0.05). Conclusion Actively carrying out the colon interposition in patients with gastric cancer and lower esophageal cancer has obvious curative effect, lower incidence of complications and high clinical value.
KEYWORDS: gastric cancer; lower esophageal cancer; esophagojejunostomy; colon interposition

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