摘要
目的：为了避免或减少食管癌、贲门癌切除，食管胃吻合术后吻合口狭窄、返流性食管炎及吻合口瘘，设计了食管胃椭圆形吻合术。方法：实验犬４０只随机分为Ａ组（椭圆形法）及Ｂ组（传统法）进行对照研究。临床上椭圆形吻合法２０２例，检测６０例，传统吻合法１０６例，检测４５例，两组对照分析。结果：Ａ组犬吻合口无狭窄，Ｂ组有４只出现狭窄（Ｐ＜００５）。病理学检查：Ａ组愈合过程较Ｂ组好；抗返流情况：Ａ组无返流，Ｂ组半数以上有返流（Ｐ＜００５）。临床检查吻合口直径：椭圆形法为２０２±０３８ｃｍ，传统法为１３５±０８２ｃｍ（Ｐ＜００１）；食管粘膜充血、水肿及食管粘液ｐＨ值两组对照均有显著意义（Ｐ＜００５）。结论：椭圆形吻合法明显优于传统吻合法，是食管癌、贲门癌切除，食管胃吻合值得应用的手术方法。
Objective: To avoid or reduce anastomotic stenosis leakage and reflux
esophagitis of postesophagogastrotomy for patients with carcinoma of esophagus and
cardia.We design the elliptical esophagogastromosis. Methods: Forty hybrid dogs were
separated into two groups randomly (elliptical anastomosis in 20 and conventional methods in
20).Two hundred and two patients treated with elliptical anastomosis in which 60 cases
examined.One hundred and six patients underwent conventional methods and 45 patients
tested. Results: There were no anastomotic stenosis in group A dogs and four dogs appear
anastomotic stenosis (P<005).The leading capability of anastomosis in group A was better than
group B on pathological examination.All dogs were no reflux in group A and over 1/2 dogs were
reflux in group B (P<005).The average diameter of anastomosis in elliptical anastomosis was 2.
020.38 cm and conventional methods were 1.350.82 cm (P<001) in all patients.The mucus
congestion edema and pH in esophagus were significantly different (P<005) within two groups.
Conclusion: Elliptical anastomosis was superior to conventional methods.It was worth
poputarizing after esophagogastrostomy for carcinoma of the esophagus and cardia.
出处
《河南医学研究》
CAS
1999年第2期137-139,142,共4页
Henan Medical Research
基金
河南省医学科学院科研基金
关键词
食管癌
贲门癌
食管胃吻合
椭圆形吻合
carcinoma of esophagus
carcinoma of cardia
esophagogastromosis
elliptical
anastomosis
