中国冶金工业医学杂志

食管癌机械吻合手术方式的临床研究

单位：1.包头市九原区医院胸外科内蒙古包头 014060 2.大连医科大学附属第二医院胸外科

关键词：食管癌手术并发症

分类号：中图分类号：R 739.8

出版年,卷(期):页码：2015,32(1):7-8

摘要：

摘要：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。
关键词：食管癌；手术；并发症

Abstract:ObjectiveTo investigate the effects of anastomotic fistula and stenosis after surgery with the classical esophageal transaction and cone\|cutting gastroesophageal mechanical anastomosis in esophageal cancers.MethodsFrom May 2010 to April 2013,128 esophageal cancer patients treated in our hospital were randomly divided into two groups,64 cases(experimental group)with cone\|cutting gastroesophageal mechanical anastomosis and 64 cases(control group)with the classify esophageal transaction gastroesophageal mechanical anastomosis.The surgical complications in two groups were compared including anastomotic fistula and stenosis.ResultsThere were three cases with anastomotic fistula,six cases with anastomotic stenosis in the control group and none in the experimental group.And there were statistically significant between the two groups in anastomotic stenosis(P＜0.05).ConclusionThe surgical method in experimental group can effectively prevent stenosis because anastomosis mucosa fitting neatly can avoid many factors leading to anastomotic fistula and stenosis,such as esophageal mucosa retraction.It is significantly better than the control group and worthy of promotion.Key Words:Esophageal cancer；Operation； Complication

基金项目：

作者简介：

参考文献：

［1］李辉.食管癌骨髓微转移分子检测的研究现状\[J\].中华外科杂志，2006，44（14）：995.
［2］张志庸.协和胸外科学\[M\].2版.北京:科学出版社,2010:672.
［3］Vicini FA,Sharpe M,Kes tin L,et al.Optimizing breast cancer treatment efficacy with intensity modulated radiotherapy\[J\].Int J Radiat Oncol Biol Phys,2012,54(5):1336\|1344.
［4］周乃康，柳曦，梁朝阳，等.机械吻合器在食管癌和贲门癌手术中的应用\[J\].中华医学杂志，2006，86（21）：1450.
［5］陈海平，贺新爱，张继林.食管癌术后吻合口瘘发生趋势及相关因素分析\[J\].现代肿瘤医学，2008，16（11）：1926.

服务与反馈：

【文章下载】【加入收藏】