食管胃双吻合术在食管灼伤瘢痕狭窄中的应用  

Application of oesophagogastric double anastontosis inthe treatment of esophageal caustic stricture

作　　者：姚宪章[1] 王伯杰 

机构地区：[1]白求恩医科大学第二临床学院胸外科,吉林省医院心外科

出　　处：《中华外科杂志》1995年第2期76-77,共2页Chinese Journal of Surgery

摘　　要：作者为９例食管良性狭窄患者施行食管胃双吻合术，将胃上提至胸腔，与狭窄段食管上端侧侧吻合，狭窄段下端与胃小弯侧端侧吻合。狭窄段食管留置。术后全部治愈出院，无手术死亡。与传统手术方法相比，双吻合术不需游离和切除已狭窄的食管，不但可避免游离狭窄段食管时误伤邻近脏器及其他合并症而且操作简便，疗效满意。AbstractBetween 1982 and 1992,nine cases of oe-sophgageal caustic stricture underwent oesophagogas-tric double anastomosis with success.There was noneed to dissect and resect the strictured esophagus,and traumatizing organs adjacent to oesophgus wasavoided.This method also eliminated the possibility ofoccurrence mediastinal abscess due to postoperative re-bindling or infection by the esophageal segment,Indi-cations for this operation are as follows:theesophageal stenosis located below the aorta arch;thestomach mobilized and pulled up to the upper levelabove the aorta arch dispite the presence of scatteredcaustic shrinkage;to assess the location and extent ofcorrosive injury and determine the level of reestablishment of the digestive tract through routine preopera-tive fiberoptic oesophagoscopy. This siinplified pro-cedure shortens the operating time,but yields excel-lent result.

关 键 词：食管狭窄 食管成形术 食管灼伤瘢痕 

分 类 号：R655.405[医药卫生—外科学]