摘要
目的：研究胃壁内凸缝合术治疗食管癌术后反流性食管炎的效果。方法将84例食管癌患者随机分为胃壁内凸缝合组（观察组）和对照组，各42例，观察组在机械吻合的基础上加胃壁内凸缝合术，对照组行单纯机械吻合术。术后比较两组患者的食管反流液pH值、炎症反应发生率和自觉症状。结果观察组患者食管腔内反流液pH值明显高于对照组，反流性食管炎发生率（35.7％）显著低于对照组（81.6％），差异有统计学意义。结论胃壁内凸缝合术能有效防止食管癌术后反流性食管炎的发生。
Objective To study the intramural convex suture in the treatment of esopHageal cancer postoperative reflux esopHagitis effect. Methods 84 cases of esopHageal cancer patients were randomly divided into control group and treatment group with 42 cases in each group,the control group treated by simple mechanical anastomosis while the treatment group mechanical anastomosis with convex suture full-thickness gastric. The two group were compared with esopHageal reflux liquid pH,inflammatory reaction and the incidence of symptoms after the operation. Results The treatment group patients with esopHageal reflux liquid pH was significantly higher than that of control group and treatment group,the incidence rate of reflux esopHagitis was 35.7%lower than the control group is 81.6%,difference has statistical significance. Conclusion The occurrence of intramural convex suture can effectively prevent esopHageal cancer postoperative reflux esopHagitis.
出处
《浙江临床医学》
2013年第12期1805-1807,共3页
Zhejiang Clinical Medical Journal
关键词
胃壁内凸缝合术
食管癌
反流性食管炎
Intramural convex suture
EsopHageal cancer
Reflux esopHagitis
