摘要
目的评价单层排线吻合法在食管癌及贲门癌术中的应用价值。方法 157例食管癌、贲门癌患者采用单层排线法吻合(单层排线组),155例采用传统食管-胃双层包埋法吻合(传统组),对比两组术后吻合口瘘及狭窄的发生情况。结果单层排线组术后无1例发生吻合口瘘,仅有2例轻度吻合口狭窄(占1.27%);传统组术后发生吻合口瘘5例(3.23%),吻合口狭窄8例(5.16%),其中5例为中、重度狭窄。两组术后吻合口瘘及狭窄的发生率比较差异有统计学意义(均P<0.05)。结论以单层排线吻合法行食管癌、贲门癌根治术食管-胃吻合,操作简单、省时、易学,并能有效预防术后吻合口瘘及吻合口狭窄。
Objective To evaluate the application values of single-layer anastomosis method in the operation of esophagus cancer and cardiac cancer. Methods Single-layer anastomosis method was used in esophagus-stomach rebuilding of 157 cases of radical operations of esophagus cancer and cardiac cancer（ single-layer group ） ;while in another group （traditional group） , traditional esophagus-stomach double-layer embedding anastomosis method was used for 155 cases. The clinical data of these 2 groups were compared to observe the occurrence of postoperative anastomotic leakage and anastomotic stenosis of both groups. Results In the single-layer group, no anastomotic leakage had been found, and only 2 cases has mild anastomotic stenosis （1.27%） ; in the traditional group, there were 5 cases of anastomotic leakage （3.23%） and 8 cases of anastomotic stenosis （5.16%）, in which 5 cases had medium or severe stenosis. The comparative differences of two groups had statistically significances （P 〈 0.05 ）. Conclusions Single-layer anastomosis method is time-saving, easy to operate and quick to learn; it can effectively prevent postoperative anastomotic leakage and anastomotic stenosis in esophagus-stomach anastomosis of radical operation of esophagus cancer and cardiac cancer.
出处
《中国肿瘤外科杂志》
CAS
2014年第4期208-210,共3页
Chinese Journal of Surgical Oncology
关键词
食管癌
贲门癌
单层排线吻合法
吻合口瘘
吻合口狭窄
术后并发症
esophagus cancer
cardiac cancer
single-layer anastomesis method
anastomotic leak-age
anastomotic stenosis
pestoperative complications
