摘要
为了解贲门癌术后反流性食管炎的发生率和严重程度，对１９例贲门癌作部分食管胃切除左胸弓下食管胃常规端侧吻合术后病人，作食管腔内２４小时ｐＨ监测，资料由计算机软件处理。在监测期间病人能正常活动、休息、进食。结果：１９例监测时间平均２２小时４２分。以ＤｅＭｅｓｔｅｒ的评分标准１７．９６分为正常值，本组１０例（占５２．６％）属正常，无异常反流存在。９例有异常反流中８例＞５０分，属混合性反流。监测结果提示，常规手术方法术后反流发生率高且严重，在可能情况下应加作抗反流手术为宜。
Aim:To evaluate the incidence and severity of gastroesophageal reflux after esophagectomy for cardiac cancer.Clinical material and method:Continuous 24hr ambulatory esophageal pH monitoring was performed in 19 patients 3 weeks postoperatively. All patients received esophagectomy for their cardiac cancer.The pH electrode was placed 5cm above the anastomotic site as located by an esophageal manometry.Patients were allowed to carry out normal daily activities and diet during study.The mean monitoring time was 22.4 hours.The pH data was analyzed by a computer.Result:According to DeMeester scoring criteria,Ten patients (52.6%) had normal results (nonreflux group).9 patients (47.4%) were found to have pathologic gastroesophageal reflux (reflux group).Among these patients,1 suffered reflux in upright position and the other 8 had reflux in both supine and upright position.In reflux group,all parameters,including the total numbers of reflux episodes,the total time of pH below 4,percentage of time with esophageal pH below 4 and the numbers of refluxe lasting >5 minutes,were much higher than that in nonreflux group.There was significant difference between two groups.Conclusion:This study confirmed that almost 50% of patients exist gastroesophageal reflux after esophagectomy.Antireflux surgery should be considered in this group of patients.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1998年第1期18-20,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
24小时
PH监测
食管胃反流
食管肿瘤
术后
24hour esophageal pH monitoring Gastroesophageal reflux Esophagectomy
