摘要
目的：探讨食管胃浆肌层双半荷包包埋吻合方法在食管胃吻合中的应用效果。方法选取2001年10月～2012年12月广东省揭阳市揭东区人民医院收治的行根治术食管癌患者212例，按随机数字法分为观察组和对照组，每组106例。对照组采用传统双层套入吻合方法，观察组采用食管胃浆肌层双半荷包包埋吻合方法，观察比较2组手术时间、吻合口瘘、吻合口狭窄、反流性食管炎发生率。结果观察组均无吻合口瘘、吻合口狭窄发生，对照组吻合口瘘、吻合口狭窄发生率分别为5.66%和9.43%，观察组吻合口瘘、吻合口狭窄发生率显著低于对照组（P＜0.05）；观察组手术时间为（3.52±0.32）h，对照组手术时间为（4.32±0.82）h，观察组手术时间显著少于对照组（P＜0.01）。结论食管胃吻合中的应用食管胃浆肌层双半荷包包埋吻合方法，具有操作简单、手术时间短等特点，能显著降低吻合口瘘与吻合口狭窄发生率，提高吻合质量。
Objective To explore the effect of double half- lined esophagus and stomach pouch anatomizes embedded in esophagogastric anatomizes. Methods Patients with esophageal cancer underwent radical surgery 216 cases from October 2001 to December 2012 in our hospital were randomly divided into observation group and control group, 106 cases in each group. The control group used traditional double set into anatomizes, the observation group lined double half gastro esophageal anatomizes purse embedding,operative time, anastigmatic leakage, anastigmatic stenos is, the incidence of Relfux esophagitis were compared. Results The study group had no anastigmatic leakage, anastigmatic stricture occurred, anastigmatic leakage, anastigmatic stricture rate in the control group was 5.66%and 9.43%, respectively, the rate of the incidence of anastigmatic leakage, anastigmatic stricture in the observation group was signiifcantly lower than those in the control group （P〈0.05）;surgery time in observation group was （3.52 ± 0.32） h, the control group was （4.32 ± 0.82） h, surgery time in the observation group was signiifcantly lower than that in the control group （P〈0.01）. Conclusion The application esophagogastrostomy lined double half esophagogastric anatomizes purse embedding method is simple, has shorter operative time, etc. It can signiifcantly reduce anastigmatic leakage and anastigmatic stricture rate and improve the quality of match .
出处
《当代医学》
2014年第11期50-51,共2页
Contemporary Medicine
关键词
吻合口瘘
吻合口狭
窄食管
胃
浆肌层
双荷包
包埋
Anastigmatic leakage
Anastigmatic stenosis
Esophagus
stomach
Ruthenium
Double purse
Embedding
