应用管状胃食管吻合术进行食管重建的效果研究  

Application of the tubular esophagus stomach surgery

作　　者：庄敏[1] 吴月敏[1] 史建国[1] 

机构地区：[1]溧阳市人民医院,江苏溧阳213300

出　　处：《当代医药论丛》2014年第14期294-295,共2页

摘　　要：目的:探讨分析应用管状胃食管吻合术进行食管重建的临床效果。方法:选取2010年1月至2014年1月间我院收治的食管癌患者100例作为研究对象,采用随机数字表法将其分为对照组(50例)和观察组(50例),为对照组患者实施全胃代食管吻合术,为观察组患者实施管状胃食管吻合术,观察对比两组患者术后并发症的发生情况,并将对比的结果及两组患者的临床资料进行回顾性的分析。结果:在对照组50例患者中,发生肺部并发症的患者有12例(占患者总数的24.00%),发生反流性食管炎的患者有32例(占患者总数的64.00%),发生吻合口瘘的患者有1例(占患者总数的2.00%),发生胸胃综合征的患者有18例(占患者总数的36.00%);在观察组50例患者中,发生肺部并发症的患者有7例(占患者总数的14.00%),发生反流性食管炎的患者有15例(占患者总数的30.00%),发生吻合口瘘的患者有1例(占患者总数的2.00%),发生胸胃综合征的患者有7例(占患者总数的14.00%)。观察组患者术后并发症的发生率明显低于对照组患者,差异显著(P<0.05),具有统计学意义。结论:应用管状胃食管吻合术进行食管重建的临床效果显著,值得在临床上推广应用。Objective: To investigate the clinical value of gastric tube in esophageal surgery. Methods: 100 cases were randomly selected in our hospital from January 2013 to January 2014 are treated in patients with esophageal cancer, which was divided into a control group and observation group, 50 cases in each group, the control group received full stomach esophagus anatomizes , the observation group tubular esophagogastric anatomizes. Two groups of patients were observed and compared the incidence of complications after surgery, reflux esophagi is, anastigmatic leak, chest stomach syndrome symptoms. Results: The two groups did not occur death situation. Patients in the control group the incidence of complications after surgery, reflux esophagi is, anastigmatic leak, chest stomach syndrome symptoms were 24.00%, 64.00%, 2.00%, 36.00%, was observed in patients after surgery complications , reflux esophagi is, anastigmatic fistula symptoms, chest stomach syndrome incidence rates were 14.00%, 30.00%, 2.00%, 14.00%. Various clinical indicators in addition to the observation group were incidence of anastigmatic fistula, but were better than the control group, the two groups were significantly different (P <0.05), with statistical significance. Conclusion: tubular stomach with making simple, placing security features, in the implementation of the esophageal gastric tube reconstruction after resection of esophageal use not only can effectively inhibit gastro esophageal reflux conditions, but also to make decrease the incidence of adverse gastric emptying, surgery patients quality of life after played a significant role in improving.

关 键 词：管状胃食管吻合术 食管癌 效果研究 

分 类 号：R735.1[医药卫生—肿瘤]