摘要
目的:研究在食管癌手术中应用管状胃食管新三角端端器械颈部吻合技术的临床效果。方法:以2015年1月至2020年2月赣南医学院第一附属医院收治的50例食管癌患者为对象,按照入院顺序的单双号进行分组,单数入院的25例为对照组应用管状吻合术治疗,双数入院的25例为观察组应用管状胃食管新三角端端器械颈部吻合技术治疗,比较两组患者的治疗效果。结果:观察组患者的食管胃吻合时间短于对照组,胃游离后长度长于对照组,手术时间短于对照组,住院时间短于对照组,差异均具有统计学意义(P<0.05);观察组患者的术后并发症发生率为16.00%,低于对照组的44.00%,差异具有统计学意义(P<0.05)。结论:管状胃食管新三角端端器械颈部吻合技术用于食管癌手术中可减少术后吻合口瘘及吻合口狭窄的发生,缩短患者术后住院时间。
Objective To study the clinical effect of neck anastomosis with tubular gastroesophageal new triangular end-to-end instrument in the operation of esophageal cancer.Methods 50 patients with esophageal cancer treated in the First Affiliated Hospital of Gannan Medical College from January 2015 to February 2020 were divided into two groups according to the single and even numbers of admission order.25 patients in the odd number were treated with tubular anastomosis in the control group and 25 patients in the even number were treated with tubular gastroesophageal new triangle end-to-end instrument neck anastomosis in the observation group.The therapeutic effects of the two groups were compared.Results The time of esophagogastric anastomosis in the observation group was shorter than that in the control group,the length of gastric dissociation was longer than that in the control group,the operation time was shorter than that in the control group,and the hospital stay was shorter than that in the control group;the differences were all statistically significant(P<0.05);The incidence of postoperative complications in the observation group was 16.00%,lower than 44.00%in the control group with statistically significant difference(P<0.05).Conclusion The application of tubular gastroesophageal new triangular end-to-end instrument neck anastomosis in the operation of esophageal cancer can reduce the occurrence of postoperative anastomotic leakage and anastomotic stenosis,and shorten the postoperative hospital stay.
作者
章祖雄
谢春发
ZHANG Zu-xiong;XIE Chun-fa(The First Affiliated Hospital of Gannan Medical College,Jiangxi Ganzhou 341000)
出处
《深圳中西医结合杂志》
2021年第21期16-18,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
食管癌
管状胃食管新三角吻合
颈部吻合技术
Esophageal cancer
Tubular gastroesophageal new triangular end-to-end instrument neck anastomosis
Neck anastomosis technique
