摘要
为减少贲门癌手术后反流性食管炎的发生，改进了贲门癌切除残胃食管吻合法，将残胃胃底再造及残胃后壁和食管非对称单、双层吻合相结合，使吻合口形成活瓣，通过对 ６０ 例随访观察和术后钡餐检查、食管镜检查证实，本术式有效地解决了传统吻合方式术后反流性食管炎和频繁嗝气的发生，提高了贲门癌患者术后的生活质量，近期效果满意。
A kind of improved esophagogastrostomy was used to reduce the incidence of postoperative esophagogastric reflux in the treatment of cardiac carcinoma for 60 cases. An anastomotic valve was made through reconstruction of gastric fundus and unsymmetrical single double layer anastomosis between esophagus and the posterior wall of residual stomach. It was confirmed by follow up, barium meal and esophagoscopy after operation. This kind of anastomosis effectively reduced postoperative esophagogastric reflux and frequent hiccup, improved life quality of the patients. The short come was satisfactory.
出处
《山东医科大学学报》
1999年第3期229-230,共2页
Acta Academiae Medicinae Shandong
关键词
贲门肿瘤
外科手术
胃底再造
Cardianeoplasms
Surgery, Operative
Esophagits,peptic
