食管癌的定期、扩大淋巴结清扫及综合治疗

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英文篇名：Regular and Extended Lymph Node Dissection and Comprehensive Treatment for Esophageal Cancer 作者：杨凡 ; 莫涛 ; 何兴鸿 ; 张林丰 ; 何岩 ; 周李芳 英文作者：YANG Fan;MO Tao;HE Xinghong;ZHANG Linfeng;HE Yan;ZHOU Lifang;General Thoracic Surgery Department, Jingmen Hospital of Traditional Chinese Medicine;Oncology Department, Jingmen Hospital of Traditional Chinese Medicine;ENT Department, Jingmen Hospital of Traditional Chinese Medicine; 关键词：食管癌 ; 淋巴结清扫 ; 定期清扫 ; 扩大清扫 ; 综合治疗 ; 治疗效果 英文关键词：esophageal carcinoma;;lymph node dissection;;regular dissection;;extended dissection;;comprehensive treatment;;therapeutic effect 中文刊名：JXUY 英文刊名：China Continuing Medical Education 机构：湖北省荆门市中医医院普外胸外科;湖北省荆门市中医医院肿瘤科;湖北省荆门市中医医院耳鼻喉科; 出版日期：2019-03-10 出版单位：中国继续医学教育 年：2019 期：v.11 语种：中文; 页：JXUY201907035 页数：3 CN：07 ISSN：11-5709/R 分类号：92-94

摘要

目的观察食管癌的定期、扩大淋巴结清扫及综合治疗的效果。方法 2015年1月—2017年5月,35例食管癌患者治疗方案为定期、扩大淋巴结清扫及综合治疗,纳入实验组,同时,选取同期入院的35例患者行常规治疗,纳入对照组,观察治疗效果。结果经统计,实验组35例患者共清扫出471枚淋巴结,平均(18.7±2.6)枚。两组转移率、并发症发生率及复发率对比,差异有统计学意义(P <0.05)。结论食管癌患者采用定期、扩大淋巴结清扫术联合术后化疗的综合方法治疗时,治疗效果可显著提高,提升患者近期生存率。
        Objective To observe the effect of regular, extended lymph node dissection and comprehensive treatment for esophageal carcinoma.Methods From January 2015 to May 2017, 35 patients with esophageal cancer received regular, extended lymph node dissection and comprehensive treatment. They were included in the experimental group. 35 patients who were admitted to hospital at the same time were treated with routine therapy and were included in the control group, the therapeutic effect was observed.Results According to statistics, 471 pieces lymph nodes were dissected from 35 patients in the experimental group, with an average metastasis rate of(18.7 ±2.6) pieces. The incidence of complications and the recurrence rate were significantly different(P < 0.05). Conclusion When patients with esophageal carcinoma are treated with regular, extended lymph node dissection combined with postoperative chemotherapy, the therapeutic effect can be improved significantly and the short term survival rate can be improved.

引文

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