双胸腔引流在食管癌、食管胃交界部癌术后临床疗效比较(1)
【摘要】 目的：探讨双胸腔引流在食管癌、食管胃交界部癌术后临床疗效。方法：选取2016年1月-2018年11月本院胸外科187例食管癌、食管胃交界部癌手术患者，根据术中放置引流管数目，分为试验组(双胸腔引流组)93例，对照组(单胸腔引流组)94例，对比两组患者临床资料及发生吻合口瘘后的带管时间、住院时间。结果：两组患者前4日引流量、吻合口瘘发生率比较，差异均无统计意义(P>0.05);术后并发症比较(10例 vs 24例)，差异有统计学意义(P<0.05)。两组均发生5例吻合口瘘，其带管时间(26.6±1.0)d vs(20.8±2.4)d、住院天数(30.0±1.4)d vs(37.6±2.7)d，差异均有统计学意义(P<0.05)。结论：双胸腔引流管虽然不能降低术后吻合口瘘的发生率，但放置双胸腔引流管可减少术后并发症发生率，在确诊吻合口瘘的患者中，能降低患者带管时间及住院天数，促进患者早期康复，值得在临床上推广。
【關键词】 食管癌; 食管胃交接部癌; 双胸腔引流; 吻合口瘘
Comparison of Clinical Efficacy of Double Thoracic Drainage in Patients with Esophageal Carcinoma and Esophagogastric Junction Carcinoma/ZHANG Cong，WANG Shiping，ZHANG Tongqin，et al.//Medical Innovation of China，2019，16(25)：0-063
【Abstract】 Objective：To investigate the clinical efficacy of double thoracic drainage in the treatment of esophageal carcinoma and esophagogastric junction carcinoma.Method：187 cases of thoracic surgery of esophageal carcinoma and esophagogastric junction carcinoma surgery patients were selected from January 2016 to November 2018，according to the number of intraoperative drainage tube placement，they were divided into experimental group(double chest drainage group)93 cases and control group(single chest drainage group)94 cases，the clinical data and anastomotic fistula after tube time and length of hospital stay of two groups were compared.Result：There was no statistically significant difference in the incidence of anastomotic fistula between the two groups in terms of drainage volume in the first 4 days(P>0.05)，the difference in postoperative complications(10 cases vs 24 cases)was statistically significant(P<0.05).There were 5 cases of anastomotic fistula in both groups，with statistically significant differences in the length of catheterization(26.6±1.0)d vs(20.8±2.4)d and length of hospitalization(30.0±1.4)d vs(37.6±2.7)d(P<0.05).Conclusion：Although double thoracic drainage tube can not reduce the incidence of postoperative anastomotic fistula，the placement of double thoracic drainage tube can reduce the incidence of postoperative complications.Among patients diagnosed with anastomotic fistula，it can reduce the time of catheterization and the length of hospitalization，and promote the early recovery of patients，which is worthy of clinical promotion.
【Key words】 Esophageal carcinoma; Esophagogastric junction carcinoma; Double thoracic drainage;Anastomotic fistula
First-author’s address：The People’s Hospital of Jianyang City，Jianyang 641500，China, 百拇医药(张聪 王世平 张同钦 马伟 王代平 钟华灵)
【關键词】 食管癌; 食管胃交接部癌; 双胸腔引流; 吻合口瘘
Comparison of Clinical Efficacy of Double Thoracic Drainage in Patients with Esophageal Carcinoma and Esophagogastric Junction Carcinoma/ZHANG Cong，WANG Shiping，ZHANG Tongqin，et al.//Medical Innovation of China，2019，16(25)：0-063
【Abstract】 Objective：To investigate the clinical efficacy of double thoracic drainage in the treatment of esophageal carcinoma and esophagogastric junction carcinoma.Method：187 cases of thoracic surgery of esophageal carcinoma and esophagogastric junction carcinoma surgery patients were selected from January 2016 to November 2018，according to the number of intraoperative drainage tube placement，they were divided into experimental group(double chest drainage group)93 cases and control group(single chest drainage group)94 cases，the clinical data and anastomotic fistula after tube time and length of hospital stay of two groups were compared.Result：There was no statistically significant difference in the incidence of anastomotic fistula between the two groups in terms of drainage volume in the first 4 days(P>0.05)，the difference in postoperative complications(10 cases vs 24 cases)was statistically significant(P<0.05).There were 5 cases of anastomotic fistula in both groups，with statistically significant differences in the length of catheterization(26.6±1.0)d vs(20.8±2.4)d and length of hospitalization(30.0±1.4)d vs(37.6±2.7)d(P<0.05).Conclusion：Although double thoracic drainage tube can not reduce the incidence of postoperative anastomotic fistula，the placement of double thoracic drainage tube can reduce the incidence of postoperative complications.Among patients diagnosed with anastomotic fistula，it can reduce the time of catheterization and the length of hospitalization，and promote the early recovery of patients，which is worthy of clinical promotion.
【Key words】 Esophageal carcinoma; Esophagogastric junction carcinoma; Double thoracic drainage;Anastomotic fistula
First-author’s address：The People’s Hospital of Jianyang City，Jianyang 641500，China, 百拇医药(张聪 王世平 张同钦 马伟 王代平 钟华灵)