期刊文献+

贲门癌术后胸腔内残余食管胃功能的研究 被引量:2

The function of intrathoracic stomach and esophagus after cardiac cancer operation
下载PDF
导出
摘要 目的探讨贲门癌术后胸腔内残余食管胃的功能变化情况。方法选取研究对象56例,其中对照组15例为健康志愿者,行食管腔内压力测定和24hpH监测;术后组41例为贲门癌切除术后患者,行上消化道X线钡餐造影、食管腔内压力测定和24hpH监测,分析其临床意义。结果测压显示41例患者术后吻合口压力明显低于对照组食管下括约肌和残余食管压力(P<0.05),术后组残余食管静息压均明显高于对照组食管静息压和胸腔内胃的静息压(P<0.05),食管体部蠕动收缩压术后组低于对照组;24h食管pH监测结果表明,两组间pH<4的立位、卧位和总时间及反流次数与时间均存在显著差异(P<0.01),卧位与立位pH<4的总时间有显著差异(P<0.01);术后组上消化道X线钡餐造影显示胸腔内胃体部无蠕动性收缩且胃排空延迟。结论贲门癌术后存在食管反流,反流的发生与术后胃排空延迟有一定关系。 Objective To study the function of intrathoracic stomach and esophagus after cardiac cancer operation. Methods Fifteen healthy volunteers were as normal control group, and 41 post-operative patients with cardiac cancer as another group. Intro-esophageal pressure and 24 h pH were monitored. In addition, X-ray barium meal was carried out to all 41 patients. Results The pressuer at esophago-gastric anatomotic portion in cancer patients was lower than that at LES of normal esophagus, and intrathoracic stomach. The pressure of residual esophagus was higher than that of normal esophagus and intrathoracic stomach. The peristaltic contraction pressure of post-operative esophagus was lower than that of normal esophagus. The signifcant pH diference could be observered between post-operative esophagus and normal e- sophagus. The X-ray barium meal showed that there was no peristaltic contraction in the intrathoracic stomach and the intrathoracic stomach had delayed emptying. Conclusion Gastroesophageal reflux existed in the post-operative patients of cardiac cancer, which is related to the delayed emptying of intrathoracic stomach.
出处 《胃肠病学和肝病学杂志》 CAS 2008年第6期431-432,436,共3页 Chinese Journal of Gastroenterology and Hepatology
关键词 贲门癌 机械吻合 食管测压 Cardiac cancer Stapled anastomosis Esophageal manometry
  • 引文网络
  • 相关文献

参考文献11

二级参考文献32

  • 1孟毅,羊庚生,王洪运,王向阳,李建军.贲门癌手术前后食管运动功能的测压观察[J].中国肿瘤临床,1995,22(10):746-746. 被引量:3
  • 2王其彰,李保庆,王福顺,韩建京,杜喜群,严嘉顺,平育敏,张毓德,陈秀鉴,吴国祥.食管癌切除术后反流性食管炎[J].肿瘤防治研究,1989,16(2):73-76. 被引量:14
  • 3王其彰 张毓德 等.食管癌切除后胃重建食管的测压观察[J].中华外科杂志,1988,26(5):305-305. 被引量:23
  • 4王其彰.食管癌切除术后胃排空[J].中华肿瘤杂志,1988,10(4):301-301. 被引量:12
  • 5王其彰 张毓德 等.食管癌切除术后胃重建食管的测压观察[J].中华外科杂志,1988,26(5):305-305. 被引量:8
  • 6[1]Fass R, OFMAN J. Gastroesophageat reflux disease-Should we adopt new conceaptual framewark? Am J Gastroentero1,2002,97(8): 1901-1909. 被引量:1
  • 7[2]Ricciardolo FIM. Machanisms of citric acid-induced bromchoconstriction. Am J Med, 2001,111 ( Suppl 8A): 18-23. 被引量:1
  • 8[3]DeNT J, Brun J, Fendrick Am, et al; Anevidence-based apraisal of reflux disease management-the Genval workshop Report. Gut, 1999,44(suppl(2):S1-S16. 被引量:1
  • 9[4]Bytzer P. On-demand for gastroesophageal reflux disease. Eur J Gastrohepa,2001,13(suppl 1) :S19-S22. 被引量:1
  • 10Mathew G, Myers JC, Watson DI, et al. Motility across esophageal anastomoses after esophagectomy or gastrectomy. Dis Esophagus,1999,12(4) : 276-282. 被引量:1

共引文献272

同被引文献11

引证文献2

二级引证文献1

;
使用帮助 返回顶部