经胸食管胃颈部机械吻合在食管癌治疗中的应用  

Application of Stapling Cervical Esophagogastrostomy via Thoracic in Patients with Esophageal Carcinoma

作　　者：张晓[1] 郎保平[1] 靳超[1] 张卫国[1] 肖鹏[1] 王欣堂[1] 

机构地区：[1]洛阳市中心医院胸外科,河南洛阳471000

出　　处：《河南科技大学学报（医学版）》2004年第2期87-88,共2页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的　探讨经胸一切口颈部食管胃机械吻合在食管癌治疗中的应用。方法　从 2 0 0 0年 9月至 2 0 0 3年 5月对 3 6例食管癌患者采用进口或国产吻合器施行经胸颈部食管胃机械吻合术 ,对其临床资料进行回顾性分析。结果　全组术后无吻合口瘘、无喉返神经损伤等并发症。术后并发房颤 3例 ,肺部感染 1例。术后食管上切缘病理检查均无癌残留。术后X线胸部后前位片显示 ,吻合钉环在胸骨切迹上 1 .5～2 .5cm ,平均 2 .2cm。结论　经胸食管胃颈部机械吻合术效果良好 ,应用国产吻合器作经胸颈部吻合可达到与进口吻合器同样的效果。Objective To explore the applicaton of stapling cervical esophagogastrostomy via anincision of thoracic in the treatment of esophageal carcinoma. Methods The clinical data of 36 patients underwent stapling cervical esophagogastrostomy via thoracic with homemade or EEA stapler were analyzed retrospectively. Results There were no leakage and recurrent nerve injury, three patients with cardic complications and one patient with infection of respiratory tract. The thoracic x-ray pictures after the operation showed anastomose nail hoop in 1.5～2.5 cm of sternum incisura averaging 2.2 cm. Conclusion The results of stapling cervical esophagogastrostomy via thoracic is satisfactory.

关 键 词：经胸食管胃颈部机械吻合 食管癌 食管切端癌残留 胸部螺旋CT检查 

分 类 号：R735.1[医药卫生—肿瘤]