食管癌切除术行食管胃单层宽边连续吻合的临床观察  

Comparison of monolayer wide-edge continuous suture anastomosis with regular interrupted suture anastomosis at esophagogastrostomy for esophageal cancer

作　　者：王鲁峰[1] 

机构地区：[1]河南省商丘市第一人民医院胸外科,476100

出　　处：《中华肿瘤杂志》2007年第7期555-557,共3页Chinese Journal of Oncology

摘　　要：目的评价食管癌切除术行食管胃单层宽边连续吻合的临床效果。方法将符合手术条件的936例食管癌患者随机分为试验组和对照组,每组468例,均行手术治疗,试验组行食管胃单层宽边连续吻合,对照组行食管胃丝线间断缝合。结果试验组无手术死亡,术后发生吻合口瘘1例(0.2%),吻合口狭窄1例(0.2%),其他并发症17例。对照组围手术期死亡1例,术后发生吻合口瘘8例(1.9%),吻合口狭窄11例(2.4%),其他并发症24例。两组间术后吻合口瘘、吻合口狭窄发生率差异有统计学意义(P值分别为0.019和0.004),而其他并发症的发生率差异无统计学意义(P=0.264)。结论食管胃单层宽边连续吻合方法简便,可有效预防食管胃吻合口瘘和吻合口狭窄的发生。Objective To evaluate the monolayer wide-edge continuous suture anastomosis in order to explore the method to prevent or reduce the frequency of anastomotic fistula and stenosis. Methods 936 esophageal cancer patients were divided into two groups： 468 by monolayer wide-edge continuous suture anastomosis with absorbable suture at esophagogastrostomy; while the other 468 by regular interrupted suture anastomosis with silk thread as control. The complication such as anastomotic fistula and stenosis in two groups were compared. Results In the group treated by monolayer wide-edge continuous suture anastomosis, there were 1 fistula （0.2%） and 1 stenosis （0.2%） versus 8 fistula （ 1.9% ） and 11 stenosis （2.4%） in the control group. There was a statistically significant difference between two guoups was observed （P 〈 0.05）. Condasion Monolayer wide-edge continuous suture anastomosis at esophagogastrostomy for esophageal cancer patient may effectively prevent or reduce the frequency of anastomotic fistula and stenosis.

关 键 词：食管胃吻合 吻合口瘘 吻合口狭窄 

分 类 号：R735.1[医药卫生—肿瘤]