镍钛记忆合金加压吻合夹用于全胃切除术后消化道重建效果分析  

Digestive tract reconstruction performed with the nickel-titanium temperature-dependent memory-shape device after total gastrectomy

作　　者：李心翔[1] 叶建新[1] 石铮[1] 张惠灏[1] 

机构地区：[1]福建医科大学附属第一医院肿瘤外科,福建福州350004

出　　处：《中国实用外科杂志》2008年第7期559-560,共2页Chinese Journal of Practical Surgery

摘　　要：目的评价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2006年1月至2007年3月，福建医科大学附属第一医院肿瘤外科将30例全胃切除术行食管空肠Roux—en—Y吻合的胃癌病人分为两组，每组各15例。CAC组行Roux—en—Y袢处空肠一空肠侧侧吻合，对照组使用钉式吻合器进行空肠-空肠侧侧吻合。术后观察有无发生与小肠吻合相关的并发症、肠道恢复排气时间及CAC排出时间。结果两组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7～14d排出体外。结论应用CAC进行小肠吻合安全、可靠。Objective To evaluate the safety and efficacy of compression anastomosis clip （CAC） for small bowel anastomosis. Methods From January 2006 to March 2007,30 gastric cancer patients performed total gastreetomy in the Department of Surgical Oneology of First Hospital Affiliated to Fujian Medical University were randomly divided into two groups and received side-to-side Roux-en-Y small bowel anastomosis with CAC or stapler. The following parameters were recorded,small bowel anastomotie complication, first post-operation flatus and bowel movement, extrusion of clip device. Results Neither group had small bowel anastomotie complications such as leakage or obstruction. The clip was expelled with stool within 7 - 14 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：胃癌 ROUX-EN-Y吻合术 小肠吻合 加压吻合夹 

分 类 号：R6[医药卫生—外科学]