摘要
目的:探讨食管胃弧形吻合在预防食管癌术后返流性食管炎和吻合口狭窄方面的疗效。方法:食管断端外弧形切断,胃壁弧形切口并剥除弧形瓣浆肌层,暴露粘膜下层后与食管逐排吻合,后壁悬套,形成后壁的半弧瓣。术后观察指标:进食情况;吻合口大小及钡剂返流情况;餐前、后食管液pH值测定;食管24小时pH值监测。结果:吻合口狭窄发生率1.6%,进普食者73.3%。24小时pH值监测:立位和卧位对比无显著性差异(P>0.05)。结论:该吻合方式能预防返流性食管炎,减少术后吻合口狭窄发生率,提高术后患者的生活质量(进普食者居多)。
Objective:to inquire into the curative effect upon the stricture and the reflux of the arc anastomosis on the esophagus and the stomach.Methods:esophagus was wiped out ,the incision of retative stomach wall incised,which seromuscular layer was gymnosised within arc valve was arc.Then submucosal layer was exposed.The forming of the arc valve followed the anastomosis with hang on the back wall of the esophagus.The targets observer:The different de-gree of paying foods after operating;The width of anastomotic stoma and the amount of Barium reflux;PH valve of esphagorrhea;The monitoring of24-hours PH value of esophagorrhea.Re -sults:The rate of stoma stricture was1.6%.The persons which can take in various foods as healthy people do account for73.3%.There was no difference(P>0.05)in regurgitation between the standing and the lying.Conclusions:The anastomosis is more effective to decrease the rate of stricture,to prevent the occurrence of the reflux in the anastomotic stoma and to improve the life quality after the operation for the patients than the usual methods.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2003年第10期705-707,共3页
Chinese Journal of Clinical Oncology
关键词
食管肿瘤
外科治疗
弧形吻合
Esophagus cancer Surgical treatment Arc anastomosis
