摘要
目的 探讨胃底悬吊在食管癌根治术中的应用,明确胃底悬吊的优点及临床意义.方法 选择2011年3月5日～2013年6月26日新乡医学院第一附属医院收治食管癌患者257例,术中均使用吻合器行胸内吻合,按术中是否行胃底悬吊分为对照组（132例）和治疗组（125例）,观察并记录手术时间、术后吻合口瘘、吻合口出血等并发症的情况.结果 术后两组手术时间、肺不张、包裹性脓胸及术后吻合口狭窄方面比较,差异无统计学意义（P＞0.05）;治疗组未发现吻合口出血及吻合口瘘,与对照组比较,差异有统计学意义（P＜0.05）.结论 在食管癌根治术中应用胃底悬吊不仅操作简单,且术后严重并发症吻合口瘘与吻合口出血发生少,值得在临床中推广.
Objective To explore the application of stomach bottom suspension in esophageal cancer radical,and to clear the advantages and clinical significance of stomach bottom suspension.Methods 257 cases of esophageal cancer from March 5,2011 to June 26,2013 in the First Affiliated Hospital of Xinxiang Medical University were selected and treated,and circular staplings were used within the chest.According to whether line stomach bottom was suspensed intraoperative,the cases were divided into the control group （132 cases） and treatment group （125 cases）.The operation time,postoperative complications such as anastomotic fistula,anastomotic bleeding were observed and recorded.Results The differences of operation time,pulmonary atelectasis,wrap pyothorax,postoperative anastomotic stenosis between the two groups were not statistically significant （P ＞ 0.05）.Anastomotic fistula,anastomotic bleeding was not found in treatment group,the differences were statistically significant （P ＜ 0.05）.Conclusion The application of stomach bottom in esophageal cancer radical suspension is not only simple,but also serious complications,such as anastomotic fistula and postoperative anastomotic bleeding occurre rarely.It is worth promoting in Clinical work.
出处
《中国医药导报》
CAS
2014年第10期51-54,共4页
China Medical Herald
关键词
食管癌根治术
胃底悬吊
吻合口瘘
吻合口出血
Radical resection of esophageal carcinoma
Gastric bottom suspension
Anastomotic fistula
Anastomotic bleeding
