摘要
目的:观察一种新的食管-胃吻合术预防吻合口狭窄和反流的效果.方法:同期行食管、贲门癌手术病人160例,随机分成两组:实验组80例,应用食管斜切断粘膜延长与胃分层吻合术;对照组80例,应用常规的食管-胃吻合术,术后随访6个月以上,记录吻合口瘘、狭窄和反流的发生率.结果:两组吻合口瘘的发生率:实验组0(0/80),对照组0.0125(1/80)(χ2=0.006,p=0.83).两组吻合口的口径:实验组≥1.5 cm 62例;1.0～1.5 cm 16例;≤1.0 cm 2例;而对照组相应的例数分别为31,34,14(χ2=25.81,p＜0.001).两组吻合口的反流例数:实验组8例,对照组34例(χ2=20.12,p＜0.001).结论:食管斜切断粘膜延长与胃分层吻合术能有效的预防吻合口的狭窄和反流.可改善术后病人的生存质量.
Objective: To evaluate an improved esophagogastric anastomotic suturing technique′s effects on preventing anastomotic leak,stenosis,gastoesophageal reflux.Methods: From June 2002 to December 2003, 160 patients with esophageal carcinoma were randomly divided into experimental group surgically treated by an improved esophagogastric anastomoses and control group by conventional esophagogastric anastomoses.All the patients were followed up at least 6 months. Postoperative leak, stenosis, gastroesophageal reflux were recorded in both gruops.Results: The two groups showed no significant difference in leaks(experimental 0, control 1;χ 2=0.006,p=0.83);The experimental group had a lower stricture rate(experimental 2/80,control 14/80;χ 2=10.00,p< 0.01) and a lower gastroesophageal reflux rate (experimental 8/80,control 34/80;χ 2=20.12,p< 0.001).Conclusion:The improved esophagogastric anastomotic suturing technique had advantages to prevent anastomotic leak,stenosis and gastroesophageal reflux.
出处
《中国临床医学》
北大核心
2005年第2期213-214,共2页
Chinese Journal of Clinical Medicine
