镍钛记忆合金加压吻合夹在胃肠吻合中的应用  

Application of compression anastomosis clip in gastroenterostomy

作　　者：王剑平[1] 徐志峰[1] 王明元[1] 蔡绍环[1] 黄春开[1] 

机构地区：[1]中国人民解放军南京军区福州总医院九五临床部普通外科,福建省莆田市351100

出　　处：《世界华人消化杂志》2008年第16期1812-1814,共3页World Chinese Journal of Digestology

摘　　要：目的:评价一种新型镍钛记忆合金加压吻合夹(CAC)进行胃肠吻合的安全性及有效性.方法:2006-04/2007-09行远端胃大部切除胃空肠吻合的患者40例随机分为2组,各20例.研究组使用CAC进行胃空肠吻合;对照组使用管型吻合器进行胃空肠吻合.术后观察有无发生与胃肠吻合相关的并发症,并观察肛门排气、排便时间以及CAC的排出时间.结果:两组患者术后均未出现与吻合相关的胃肠吻合口瘘、吻合口狭窄或肠梗阻等并发症,术后肛门排气、排便时间两组差异无统计学意义.研究组CAC均于术后10-30d排出体外.结论:应用CAC进行胃肠吻合安全可靠,使用简便.AIM： To evaluate safety and efficacy of compression anastomosis clip （CAC） for gastrointestinal anastomosis. METHODS： Forty patients who underwent subtotal gastrectomy and gastrojejunostomy were assigned randomly to use either CAC or a curved stapler. Anastomotic complications were observed; The first post-operation flatus and bowel movement and extrusion of clip device were recorded. All statistics were analyzed using SPSS software package. RESULTS： Neither group had gastrointestinal anastomotic complications such as leakage or obstruction, The clip was evacuated with the stool within 10-30 days after operation in the experiment group, but no significant difference was detected between the two groups, Two groups had the similar results in recovery of bowel function. CONCLUSION： CAC is safe and simple to use for gastroenterostomy.

关 键 词：远端胃大部切除 胃肠吻合 加压吻合夹 

分 类 号：R656.6[医药卫生—外科学]