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应用黏膜外翻吻合术治疗食管癌和贲门癌1044例

Experience of 1044 Cases of Esophageal and Cardiac Carcinoma Treated with Mueosal Ectrophy Anastomosis
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摘要 目的介绍黏膜外翻吻合术治疗食管癌和贲门癌的手术法,评价治疗效果。方法共对1044例食管癌和贲门癌患者行食管胃左颈部黏膜外翻吻合,或食管胃(肠)主动脉弓下黏膜外翻吻合术。结果术后与吻合口有关系并发症发生30例(2.9%),其中颈部吻合口瘘16例,远期吻合口狭窄3例,轻度反流性食管炎11例。结论食管胃或肠黏膜外翻吻合术是一种操作简便,并发症少,可有效防止吻合瘘和吻合口狭窄,减少反流性食管炎的手术方式。 Objective To introduce operational methods of esophageal and cardiac carcinoma treated with mucocal extrophy anastomosis .Methods 1044 cases treated with mucosal extrophy anastomosis or esophagogastric mucosal extrophy anastomisin under aortic arch were analyzed .Results Postoprative complications connected with sanastomotic stoma were 30 cases (2.9%),cervical anastomotic leakage were 16 cases,long-term anastomotic stenosis were 3 cases, shight reflux esophagitis were 11 cases .Conclusion Esophagogastric or mucoenteral extropy anastomosis is an operative method, it's simple to operate, less complication ,effective prevent anastomotic fistula and anasromotic stenesis and reduce rertlux esophagitis.
作者 李岩 李琳
出处 《菏泽医学专科学校学报》 2005年第1期29-30,共2页 Journal of Heze Medical College
关键词 食管癌/治疗 贲门癌/治疗 黏膜外翻吻合术/外科手术 吻合口瘘 吻合口狭窄反流性食管炎/病因学 Esophageal carcinema/therapy Cardiac carcinoma/therapy Mucosal exhophy anastomosis/surgery Anasromotic fistula anastomotic stenosis reflux esophagitis/etiology
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