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目的探讨消化道吻合器及缝合器在上消化道吻合的并发症及处理措施。方法回顾性分析某院自2008年1月～2010年1月收治的452例需行消化道吻合的老年患者,均给予消化道吻合及缝合,分析治疗临床效果,并发症及相应的处理措施。结果胃大部切除行胃-空肠吻合,吻合与缝合次数分别为139次及417次,时间为8.4 min;全胃切除行食管-空肠吻合,吻合与缝合次数分别为156次及312次,时间为10.6 min,近端胃大部切除吻合与缝合次数分别为139次及278次,时间为12.1 min。本组发生并发症10例,发生率为2.2%,吻合口狭窄4例,吻合口出血3例,术后吻合口瘘4例。结论消化道吻合器及缝合器在上消化道吻合中出现并发症与多种因素有关,适当处理可减少并发症的出现。
Objective To investigate the complications and treatment of gastrointestinal stapler and stapler in upper gastrointestinal anastomosis. Methods A retrospective analysis of 452 elderly patients who underwent gastrointestinal anastomosis in a hospital from January 2008 to January 2010 was performed anastomosis and suture of digestive tract. The clinical effects, complications and corresponding treatment measures were analyzed. Results The total number of gastric-jejunal anastomosis, anastomosis and suture were 139 and 417 times, respectively, for a total time of 8.4 minutes. The numbers of esophagogastrojejunostomy, anastomosis and suture were 156 and 312 respectively, For 10.6 min, the number of proximal gastrectomy anastomosis and suture were 139 times and 278 times, the time was 12.1 min. The group of complications occurred in 10 cases, the incidence was 2.2%, anastomotic stenosis in 4 cases, anastomotic bleeding in 3 cases, 4 cases of anastomotic leakage after surgery. Conclusions The complications of digestive tract stapler and stapler in upper gastrointestinal anastomosis are related to many factors. Appropriate treatment can reduce the occurrence of complications.