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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 ,减少病人痛苦和费用
Objective: To study the clinical value of esophageal cancer surgery after radiotherapy. Methods: The first stage group (56 cases) and the staging group (15 6 cases) of esophageal cancer after radiotherapy were divided into group A and group B. The resection rate, anastomotic fistula, empyema, cardiopulmonary complication and death Rate and overall complication rate. Results: The resection rate was 91% in group A, 94% in group B, P> 0.05. There were 6 cases in group A, 6 cases in group B, and 0 cases in group B, 3 cases in group A and 3 cases in group B, but not in group B ; Respiratory failure occurred in 3 cases in group A, 6 cases in group B, P> 0 05; 12 cases in group A with respiratory insufficiency, 21 cases in group B, P 0 05; 21 cases in group B with severe arrhythmia (P <0.05). There were 7 deaths in group A, 5 deaths in group B, P <0 05, 45 in group A, 51 in group B, and 3 in group B 5 6 79, P> 0 0 5. Conclusion: The operation of esophageal cancer after radiotherapy, according to the patient’s condition staged implementation, can significantly reduce the operative mortality, severe arrhythmia, empyema, reduce patient pain and costs