摘要
临床治疗食管和贲门癌136例，水后无吻合口瘘。1年后复诊93例，未见有咽下困难者。初透吻合口宽度均在1．3cm以上，其中84例＞1．5cm。食管镜观察粘膜无充血、水肿，无胃液返流，粘膜活俭Menin氏法分组仅1例表现为粘膜下乳头异常。食管下段液体pH值测定绝大多数位于6．0～7.0之间，食管内滴酸试验均为阴性。说明末方法能有效预防吻合口病、狭窄和近流性食管炎，是一种新的食管胃吻合法。
One hundred and thirty-six cases of esophageal and cardiac carcinomas treated with mucosa valve formation during anastomosis following cancer removal. One year follow-up of 93 cases showed that no stomal leakage nor dysphagia occurred. The barium meal revealed the mean width of the anastomotic stoma exceeded 1. 3cm and 1. 5cm in 84 cases. Esophagoscopy revealed no congestion,edema of mucosa at the stoma nor reflux,but in only one case submucosal papillary prominence was seen. The pH value of lower esophagus ranged from 6. 0-7.0 and the intraesophageal acid-titration showed negative. It indicates that this type of anastomosis is effective in preventing anastomotic leakage,type of anastomosis is effective in preventing anastomotic leakage,stricture and reflux-esophagitis from occurrence.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1997年第3期197-199,共3页
Chinese Journal of Clinical Oncology
关键词
食管肿瘤
贲门癌
外科手术
防返流瓣吻合法
Anti-reflux mucosal valve formation Reflux-esophagitis Anastomotic leakage
