摘要
目的探讨食管胃分层缝合,外层半荷包包埋吻合方法在食道癌治疗中的应用。方法对我科近5年来施行食管胃分层缝合,外层半荷包包埋吻合法的106例食管癌病人临床资料回顾分析。结果本组吻合瘘发生率为0,吻合口狭窄发生率为0,明显低于传统吻合法。返流性食管炎发生率为45%,同传统吻合法无差别。结论食管胃分层缝合,外层半荷包包埋吻合法,在术后吻合口漏及吻合口狭窄的发生率明显低于传统吻合法。该术式有一定临床应用价值。
Objective To investigate the advantages and clinical application of demixing and external layer semi-purse-string suture in esophagogastric anastomosis. Methods From October 2001 to December 2006, the clinical date of 106 cases wtih esophageal carcinoma received demixing and external layer semi-purse-string suture in esophagogastric anastomosis were analyzed retrospectively. Results The incidences of anastomotic leakage and stenosis were zero, which much lower than that traditional anastomotic method. The incidence of flux esophagitis was 45%, and it was no difference compared with traditional anastomotic method. Conclusion Anostomosis of esophagogastfic demixing and external layer semi-purse-string suture is much lower than that traditional anastomotic method in the incidences of postoperative anastomotic leakage and stenosis. This surgical procedure has a definite value in clinical use.
出处
《岭南现代临床外科》
2007年第4期312-313,共2页
Lingnan Modern Clinics in Surgery
关键词
食管分层缝合
外层半荷包缝合
吻合口漏
吻合口狭窄
返流
Esophagogastric stratified suture
External layer semi-purse-string suture
Anatomotic leakage
Anastomotic stenosis
Regurgitation
