应用镍钛记忆合金加压吻合夹进行小肠吻合的临床研究  

Small bowel anastomosis performed with the nickel-titanium temperature-dependent memory-shape device

作　　者：江志伟[1] 李宁[1] 黎介寿[1] 汪志明[1] 丁凯[1] 刘碧竹[1] 

机构地区：[1]南京军区南京总医院普通外科全军普通外科研究所,210002

出　　处：《中华胃肠外科杂志》2006年第5期392-394,共3页Chinese Journal of Gastrointestinal Surgery

摘　　要：目的评价一种新型的镍钛记忆合金加压吻合夹(CAC)进行小肠吻合的安全性及有效性。方法2005年4月至2006年3月,将40例需行全胃切除术进行食管空肠Roux-en-Y吻合的胃癌患者分为两组,各20例。研究组使用CAC进行Roux-en-Y袢处空肠-空肠吻合；对照组使用常规吻合器进行空肠-空肠吻合。术后观察有无发生与小肠吻合相关的并发症,并观察肠道恢复排气时间以及CAC的排出时间。结果两组患者术后均未出现与吻合相关的小肠吻合口瘘、吻合口狭窄及肠梗阻等并发症,术后肠道排气、排便时间两组差异无统计学意义(P＞0．05)。CAC均于术后9-16 d排出体外。结论应用CAC进行小肠吻合安全、可靠。Objective To evaluate the salty and efficacy of compression anastomosis clip（CAC） for small bowel anastomosis. Methods Forty gastric cancer patients undergoing total gastroctomy were randomly divided into two groups and received side-to-side Rouxoen-Y small bowel anastomosis with CAC or stapler. The following parameters were recorded： small bowel anastomotic complication, first post-operation flatus and bowel movement, extrusion of clip device. Results Neither group had small bowel anastomotic complications such as leakage or obstruction. The clip was expelled with stool within 9- 16 days. Two groups had the similar results in recovery of bowel function. Conclusion CAC is safe and simple for small bowel anastomosis.

关 键 词：胃肿瘤 吻合术 Roux—en—Y 小肠吻合 加压吻合夹 

分 类 号：R656.7[医药卫生—外科学]