摘要
本文对食管、胃层—层吻合术和全层吻合术进行比较观察。通过实验动物和临床病例术后随访,X线食管造影和食管镜检查,前一术式的吻合瘘发生率为0.4％,吻合口狭窄为2％,吞咽不适为36％;后一术式依次分别为4.2％,16％,72％。两者比较3项均有显著性差异。作者认为,层-层吻合术能显著地减少吻合口瘘和狭窄的发生。
A comparative study was made between the anastomosis in layers and whole thickness suturing technic during esophagogastric anastomosis. Follow-up studies using barium meal roentgenography and esophagofiberoscopy were carried out postoperatively both in clinical cases and experimental animals. The data obtained suggested that the rates of anastomotic fistula, stricture and dysphagia were 0.4%, 2% and 36% respectively in the group of layer by layer esophagogastric anastomosis, whereas in the group of whole thickness through suture these figures were 4.2%, 16% and 72% respectively. Statistical significance between these two groups was evident. The author believed that the layer by layer anastomosis is the preferable technic to adopt in order to reduce anastomotic leakage and stricture.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1990年第3期143-146,共4页
Chinese Journal of Clinical Oncology
关键词
食管
胃
吻合术式
吻合口
愈合
Esophagogastric anastomosis
Anastomotic stoma
Whole thickness throngh suture
