论文部分内容阅读
目的研究食管圆锥形切割食管胃机械吻合与传统食管横断食管胃机械吻合两种不同手术方式对食管癌术后吻合口瘘和吻合口狭窄的影响。方法回顾性分析大连医科大学附属第二医院胸外科2010年5月至2013年4月采用食管圆锥形切割食管胃胸腔内机械吻合64例(研究组),随机选取同期传统食管横断食管胃胸腔内机械吻合64例(对照组),两组进行术后吻合口漏及吻合口狭窄等观察指标的对照研究。结果对照组发生吻合口瘘3例,吻合口狭窄6例;研究组无吻合口漏及吻合口狭窄。吻合口狭窄两组间差异有统计学意义(P<0.05)。结论研究组术式使吻合口黏膜对合整齐,避免了食管黏膜回缩的多种致瘘因素及有效预防吻合狭窄,明显优于对照组值得临床推广。
Objective To study the effects of esophageal conical esophagogastric anastomosis and traditional esophageal transesophageal esophagogastric anastomosis on the anastomotic fistula and anastomotic stricture after esophagectomy. Methods Retrospective analysis of 64 cases (study group) of esophageal and stomach esophagogastric esophagogastric esophagogastric esophagogastric esophagogastric esophagogastric esophagogastric esophagogastric esophagogastrostomy 64 cases (study group) from May 2010 to April 2013 in the Second Affiliated Hospital of Dalian Medical University were randomly selected. Mechanical anastomosis in 64 cases (control group), two groups of postoperative anastomotic leakage and anastomotic stenosis and other indicators of the control study. Results There were 3 anastomotic fistulas and 6 anastomotic stenosis in the control group. There was no anastomotic leakage and anastomotic stenosis in the study group. Anastomotic stricture between the two groups was statistically significant (P <0.05). Conclusions The study group was able to make the anastomotic mucosa neat and tidy, avoiding many fistula factors of esophageal mucosa retraction and effectively preventing anastomotic stenosis, which is obviously superior to the control group and worthy of clinical promotion.