食管癌、贲门癌切除术后胃食管反流的临床分析  

The clinical analysis of gastroesophageal reflux after carcinectomy of esophageal cancer and cardia cancer

作　　者：欧阳励[1] 唐滨江[1] 唐建国[1] 曾晓莉[1] 

机构地区：[1]南昌大学第四附属医院胸心外科,江西南昌330003

出　　处：《赣南医学院学报》2009年第1期72-73,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨食管癌、贲门癌切除术后胃食管反流的发生机制、抗反流措施和抗反流的手术方法及治疗。方法:左侧开胸食管癌、贲门癌切除术208例,其中颈部吻合86例,越过主动脉弓上吻合78例,主动脉弓下吻合44例,临床资料进行比较分析。结果:胃食管反流十分普遍,发病率较高达88%。208例中84例手术后出现胃食管反流症状,发生率40.3%,主动脉弓下吻合胃食管反流比例>主动脉弓上吻合>颈部吻合。结论:食管癌贲门癌切除术后吻合平面越高,反流越轻,食管胃颈部吻合术式具有更好的减轻术后胃食管反流的作用,能改善病人的术后生活质量。Objective：To explore the mechanism of gastroesophageal reflux after carcinectomy of esophageal cancer and cardia cancer, the measure and the surgery methods, the treatment of the esophageal cancer and gastric cancer. Methods ： The left thoracic esophageal cancer, Choosing 208 cases with esophageal cancer and cardia cancer carcinectomy from left chest wall, of which 86 cases of anastomosis in neck, 78 eases of anastomosis upon the＇aortic arch , 44 cases of anastomosis under the aortic arch , to analyze comparatively the chnical data of these cases. Results： The gastroesophageal reflux is very common, and the incidence rate is no less than 88%. There are 84 cases with gastroesophageal reflux symptoms of 208 cases after surgery, the incidence rate is 40.3% , the propotion of anastomosis under the aortic arch 〉 the propotion of anastomosis upon the aortic arch 〉 the propotion of anastomosis in neck. Conclusions：The higher anastomosis plane of esophageal cancer and cardia cancer carcinectomy , the less gastroesophageal reflux . The gastroesophageal anastomosis in ncck after carcinectomy has more effect on mitigating the gastroesophageal reflux and can improve the quality of life after surgery.

关 键 词：食管癌 贲门癌 不同平面吻合 胃食管反流 

分 类 号：R735.1[医药卫生—肿瘤]