摘要
目的目的通过动物实验，设计一种全新概念的食管胃吻合方法，以期避免吻合口瘘、狭窄发生，并重点观察其抗运流效果。方法设计术式为经隧道食管粘膜胃腔内吻合术，在动物实验基础上，用于临床９４例。术后经上消化道造影、测压、食管镜检、随访及症状学研究，对其抗返流作用进行评价。结果术后２ｗｋ上消化道造影仅２例有轻度返流；食管镜检无明显返流性食管炎；随访全组无返流症状，均能平卧睡眠。结论Ｈｉｓ角及＂玫瑰花结＂改进的隧道式食管胃腔内吻合术有明显的抗返流作用．
Objective On the basis of animal experiment, a novel method ofesphagogastrostomy was designed to aviodthe occurrance of anastomotic leakage andstenosis. The study emphasis on theanti-reflux effect of the operation.Methods The operation form' esophagogastric mucosa anastomosis intragutervia tunnel' was designed on the basis of animalexperiment, and applied clinically in 94 cases ofpatients. Postoperative examinations include contrast exanination of upper digestive tract,manometric test, esophagoscopy, follow up survey and symptomatology were studied, and theanti-reflux effect was observed.Results Tow weeks after operation, mildreflux occurred in 2 cases by contrast examinationof upper digestive tract; None of the patients occurred the symptoms of gastroesophageal reflux;No evident of reflux esophagitis was detected byesophagoscopy; And all the papients can sleep inhorizontal position.Coeclusion The improvement operationesophagogastrostomy intragaster via tunnel hasan obviously effect of anti-reflux.
出处
《新乡医学院学报》
CAS
1996年第4期344-346,共3页
Journal of Xinxiang Medical University
关键词
胃食管返流
食管胃吻合
食管肿瘤
gastroesophageal reflux
esophagogastrostomy
esophageal mucosa
