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1、授予單位代碼10089學(xué)號(hào)或申請(qǐng)?zhí)?0153507中國圖書分類號(hào)R655.4HebeiMedicalUniversity碩士學(xué)位論文專業(yè)學(xué)位右胸徑路食管癌根治手術(shù)與左胸Sweet手術(shù)的療效對(duì)比研究生:韓進(jìn)偉導(dǎo)師:劉俊峰教授專業(yè):外科學(xué)二級(jí)學(xué)院:第四醫(yī)院2018年3月河北醫(yī)科大學(xué)目錄中文摘要············································································································1英文摘要······································
2、······································································2英文縮寫············································································································4研究論文右胸徑路食管癌根治手術(shù)與左胸Sweet手術(shù)的療效對(duì)比前言················································································
3、····························5材料與方法································································································5結(jié)果············································································································8附圖····················································
4、······················································9附表··········································································································11討論··········································································································16結(jié)論···················
5、·······················································································18參考文獻(xiàn)·································································································19綜述幾種食管胃吻合方式及療效··················································21致謝····································
6、··············································································27個(gè)人簡歷··········································································································28中文摘要右胸徑路食管癌根治手術(shù)與左胸Sweet手術(shù)的療效對(duì)比摘要目的:比較右胸徑路食管癌根治術(shù)與常規(guī)左開胸一切口食管癌切除術(shù)(Sweet手術(shù))治療食管胸中下段癌效果的差異。方法:回顧性分析2010年1月至20
7、15年1月接受經(jīng)右胸食管癌根治術(shù)的125例食管胸中下段癌患者的臨床資料,同期357例行常規(guī)左胸Sweet手術(shù)的食管胸中下段癌患者作為對(duì)照。結(jié)果:右胸徑路手術(shù)與左胸Sweet手術(shù)患者生存差別無統(tǒng)計(jì)學(xué)意義。兩組淋巴結(jié)清掃數(shù)目、胸部淋巴結(jié)清掃數(shù)目、腹腔淋巴結(jié)清掃數(shù)目、圍手術(shù)期死亡率差異無統(tǒng)計(jì)學(xué)意義,右胸組術(shù)后平均住院天數(shù)高于Sweet手術(shù)組,差異有統(tǒng)計(jì)學(xué)意義。右胸組吻合口瘺、胸腔積液發(fā)生率較Sweet組高,差異有統(tǒng)計(jì)學(xué)意義;呼吸衰竭、乳糜胸、切口愈合