摘要
目的探讨食管癌切除术后胃食管反流的原因及抗反流的手术方式。方法回顾性分析2000-01～2008-01我科共手术治疗食管癌患者420例,其中胃经食管床颈部吻合组96例(A组),胸内吻合组184例(B组),胃代食管经胸腔途径吻合组140例(C组),并对其3组的临床资料进行比较分析。结果胃食管反流比例C组>B组>A组(P<0.05)。结论食管癌切除后胃经纵隔行颈部吻合可显著降低术后胃食管反流率,经食管床主动脉弓上吻合胃食管反流发生率次之。
Objective To explore the operation method of gastro-esophageal reflux and anti-reflux after esophageal carcinoma.Methods By retrospectively analyzing 420 cases of patients with esophageal carcinoma from Jan,2000 to Jan,2008 in this department,96 cases in cervical esophagogastrectomy(Group A),184 in intrathoracic anastomosis(Group B),140 in thoracic anastomosis of esophagus with gastric tube(Group C),and comparing the clinical information of these three groups.Results Proportion of gastro-esophageal reflux: Group C>Group B >Group A(P<0.05).Conclusion Mediastinal cervical anastomosis after esophagectomy can apparently lower the proportion of gastro-esophageal reflux,anastomosis above the aortic arch positively ranks second.
出处
《河南外科学杂志》
2010年第1期19-20,共2页
Henan Journal of Surgery
关键词
食管肿瘤
外科
胃食管反流
esophageal neoplasm
surgical department
gastroesophageal reflux
