机械吻合器在预防食管吻合口瘘和狭窄中的应用

• 作 者: 戴亚伟 董骏 宋志华
• 机 构: 海盐县人民医院!314300,海盐县人民医院!314300,海盐县人民医院!314300
• 出 处: 浙江预防医学
• 发表日期: 1999年08期
• 关键词: 吻合器 吻合口瘘 机械吻合 贲门癌切除 弓上吻合 弓下吻合 临床病理分期 上段 荷包缝线 口疹

我院于1982年至1997年使用上海产GF-Ⅰ型消化道管状吻合器对152例食管癌和贲门癌切除后进行机械吻合,效果良好,现总结如下。资料与方法1．资料:本组152例,男118例,女34例,年龄31~78岁,平均52.8岁。食管癌97例,贲门癌55例。食管癌中,上段6例,中段61例,下段30例。97例食管癌临床病理分期(TNM)Ⅰ期2例,Ⅱa期8例,Ⅱb期45例,Ⅲ期42例。2．吻合术式:胸顶吻合16例,弓上吻合69例,弓下吻合55例,腹部吻合12例,本组应用吻合器为φ26号和φ28两种型号,后者占130例。3．手术方式:

In our hospital from 1982 to 1997 using Shanghai GF-I digestive tract tubular anastomosis for 152 cases of esophageal and cardiac cancer after mechanical resection, the effect is good, are summarized below. Materials and Methods 1. Data: There were 152 cases in this group, including 118 males and 34 females, aged 31-78 years old with an average age of 52.8 years. 97 cases of esophageal cancer and 55 cases of cardiac cancer. In esophageal cancer, there were 6 cases in the upper segment, 61 in the middle segment, and 30 in the lower segment. In 97 cases of esophageal cancer, there were 2 cases of stage I (TNM), 8 cases of stage IIa, 45 cases of stage IIb, and 42 cases of stage III. 2. Anastomosis: chest top anastomosis in 16 cases, bow anastomosis in 69 cases, anastomosis in the bow in 55 cases, abdominal anastomosis in 12 cases, the use of staplers in this group are φ26 and φ28 two models, the latter accounted for 130 cases. 3. Surgical approach: