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目的研究管状胃与食管侧侧吻合以减少术后吻合口狭窄及胃、食管反流的效果。方法 100例食管癌患者,随机分成观察组和对照组,各50例。观察组采用管状胃-食管侧侧吻合技术,对照组实施管状胃-食管端侧吻合技术。观察两组患者吻合口瘘、吻合口狭窄以及反流性食管炎发生率。结果观察组患者术后吻合口狭窄发生率为2.00%、反流性食管炎发生率为18.00%,均低于对照组的16.00%、60.00%,差异具有统计学意义(P<0.05);两组患者术后吻合口瘘发生率比较差异无统计学意义(P>0.05)。结论管状胃-食管侧侧吻合技术能够降低食管癌患者术后的吻合口狭窄和反流性食管炎的发生率。
Objective To study the effect of tubular stomach and lateral esophageal anastomosis to reduce postoperative anastomotic stricture and gastric and esophageal reflux. Methods 100 cases of esophageal cancer patients were randomly divided into observation group and control group, 50 cases each. In the observation group, the tubular stomach-esophagus lateral anastomosis technique was used in the observation group, and the control group received the tubular stomach-esophagus end-to-side anastomosis technique. Anastomotic leakage, anastomotic stenosis and reflux esophagitis were observed in two groups. Results The incidence of anastomotic stenosis in observation group was 2.00% and the incidence of reflux esophagitis was 18.00%, which were all lower than those in control group (16.00% and 60.00%, P <0.05) There was no significant difference in the incidence of anastomotic fistula between the two groups (P> 0.05). Conclusions Tubular stomach-esophageal lateral anastomosis can reduce the incidence of anastomotic stenosis and reflux esophagitis in patients with esophageal cancer.