不同管状消化道吻合器在食管胃吻合术中的应用  

Effect of stapled anastomosis in esophagogastrostomy

作　　者：张明[1] 张波[1] 陈华增[1] 强生庭[1] 

机构地区：[1]肇庆市第一人民医院胸心外科,广东肇庆526021

出　　处：《中国基层医药》2004年第11期1343-1344,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨采用不同种类、不同型号吻合管对食管胃吻合术后并发症发生率的影响。方法　应用GF Ⅰ型和WGW Ⅰ型弯管型两种消化道吻合器 ,对 5 39例食管癌和贲门癌患者施行食管胃吻合术。结果　全组患者均无吻合失败。术后吻合口瘘发生率 1 3% ( 7/5 39) ,吻合口狭窄率 1 8% ( 10 /5 39) ,死亡率 0 6 %( 3/5 39)。结论　采用 31号GF Ⅰ型吻合器进行弓下吻合 ,2 6号WGW Ⅰ型吻合器进行胸顶以上吻合 ,可减少跨弓吻合 ,对降低术后并发症发生率有一定帮助。Objective To evaluate effects of different rinds stapler to postoperative complications of esophagogastic anastomosis.Methods Esophagogastic anastomosis was performed with the stapler GF Ⅰ and WGW Ⅰ in 539 patients with carcinoma of the esophagus and cardia.Results There was no anastomosis failure with this mechanical technique.The overall incidence of anastomotic leakage was 1.3%(7/539) and anastomotic stricture 1.8%(10/539).The clinical results indicate that the stapling technique for esophagogastic anastomosis is better than others.Conclusion Choosing suitable stapler is good to decrease the incidence of postoperative complications.

关 键 词：食管胃吻合术 发生率 管状消化道吻合器 术中 患者 术后并发症 GF 结论 帮助 目的 

分 类 号：R735[医药卫生—肿瘤] R656[医药卫生—临床医学]