摘要
目的 研究胃食管癌吻合术中吻合方式的选择与切口瘘的预防效果.方法 2007年至2012年收治的150例患者随机分为实验组和对照组各75例,对照组接受传统胃食管吻合术,实验组接受吻合器单层食管胃吻合术,对比两组患者术后吻合口瘘和狭窄等情况.结果 对照组发生吻合口瘘4例（5.33％）,胃食管反流8例（10.67％）,实验组无一例吻合口瘘,胃食管反流7例（9.33％）.实验组吻合口瘘发生率显著低于对照组（P＜0.05）,胃食管反流发生率与对照组相近（P＞0.05）.对照组术后发生轻度狭窄4例,中度狭窄2例,重度狭窄1例,共7例（9.33％）,实验组仅发生轻度狭窄1例（1.33％）,狭窄发生率显著低于对照组（P＜0.05）.结论 单层胃食管吻合术更接近生理结构,能减少吻合口瘘、吻合口狭窄等并发症发生率,胃食管反流发生率相近.
Objective To study the preventive effect of arch monolayer varus gastroesophagostomy （AMVG） for fistulous on esophageal cancer.Methods 150 patients from 2007 to 2012 were randomly divided into 2 groups.The control group was treated with traditional gastroesophagostomy while the experimental group was treated with AMVG.The untoward reactions were observed.Results The control group had 4（5.33%）stomas fistula and 8（10.67%） gastro-esophageal reflux （GFR） while the experimental group had none （0%）fistula and 2（2.67%） GFR.The experimental group had a significant lower fistula rate （P〈0.05） and lower GFR rate than those of the control group （P〈0.05）.The experimental group had significant less stomas narrow of 1.33% than control group （9.33%） （P〈0.05）.Conclusion The AMVG makes a more natural stomas structure and reduces complication rate such as stomas fistula,narrow and GFP.
出处
《国际医药卫生导报》
2013年第20期3127-3128,共2页
International Medicine and Health Guidance News
关键词
吻合器单层
胃食管吻合术
食管癌
Arch monolayer varus
Gastro-esophagostomy
Esophageal cancer
