摘要
目的探讨食管癌手术中使用胃大弯侧带血供大网膜包裹吻合口预防吻合口瘘的效果。方法选取2010年1月～2012年12月本院胸外科256例食管癌部分切除患者,随机分为两组,治疗组130例患者使用胃大弯侧带血供大网膜包裹吻合口。对照组126例患者采用常规一次性吻合器吻合无大网膜包裹吻合口,比较两种手术方式吻合口瘘发生率。结果治疗组发生吻合口瘘1例(占0.77%),对照组发生吻合口瘘4例(占3.1%),两组对比,差异有统计学意义(P<0.05)。结论食管癌手术中使用胃大弯侧带血供大网膜包裹吻合口对预防吻合口瘘效果明显,手术方法简单,基本不加大手术难度,值得借鉴。
Objective To evaluate the advantage of greater omentum parcel anastomotic to prevent anastomotic fistula in the esophageal carcinoma surgery. Methods Two hundred and fifty-six cases of patients underwent esophageal car-cinoma resection from January 2010 to December 2012 were divided into two groups randomly, 130 patients in treatment group were given blood abundant greater omentum parcel anastomotic in the surgery. 126 patients in controlgroup were given normal one-time stapling anastomotic. Results One case was found with anastomotic fistula in treatment group （accounted 0.77%）, and four cases in control group （accounted 3.1%）, the difference was significant （P 〈 0.05）.Conclusion The use of blood abundant greater omentum parcel anastomotic in the esophageal carcinoma surgery has good effect in prevent anastomotic fistula, and the operation method is simple, with the value to generalize.
出处
《中国当代医药》
2013年第6期64-65,共2页
China Modern Medicine
关键词
大网膜
吻合口瘘
食管癌
手术方式
Greater omentum
Anastomotic fistula
Esophageal carcinoma
Operation method carcinoma surgery has generalize.
