胃-食管胸内器械吻合临床体会  

Clinical experience of anastomat in gastric and esophageal anastomosis in pleural cavity

作　　者：王兴邦[1] 于在诚[1] 吕伟伟[2] 

机构地区：[1]安徽医科大学第一附属医院胸外科,安徽合肥230022 [2]安徽六安市人民医院胸心外科,安徽六安237005

出　　处：《安徽医药》2008年第4期336-337,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的评价器械吻合在胃-食管胸内吻合的价值。方法总结我科1998年9月至2007年6月1080例食管癌,贲门癌手术,比较手工吻合及器械吻合术后并发症的情况。结果(1)胃-食管胸内器械吻合较手工吻合手术时间及术后并发症均明显降低(P<0.05)。(2)吻合口间断缝合加固较褥式缝合包埋术后并发症有明显减少(P<0.05)。结论器械吻合是安全、有效的,能减少并发症,降低死亡率。Aim To evaluate the value of anastomat in gastric and esophageal anastomosis. Method One thousand and eighty patients diagnosed as esophageal or cardiac carcinoma were enrolled in this study. All patients underwent a surgery and a suture in the Thoracic Surgery Department of Lu＇ an People＇ s Hospital from September 1998 to June 2007. The complications of patients receiving an artificial suture were compared with those receiving a mechanical one. Result First, the complications were significantly reduced in patients undergone a mechanical suture compared with artificial suture. （ P 〈 0. 05 ） ; Second, the complications were significantly reduced in rein- forced interrupted suture compared with mattress suture （ P 〈 0. 05 ）. Conclusion Mechanical suture, significantly effective in reducing complications and mortality, is secure for clinical application.

关 键 词：食管癌 贲门癌 吻合器 

分 类 号：R735[医药卫生—肿瘤]