合并严重并发症的贲门失弛症的外科治疗  

Surgical treatment of achalasia assuciated with severe complication

作　　者：夏军[1] 程邦昌[1] 李朝晖[1] 毛志福[1] 

机构地区：[1]湖北医科大学附属第一医院心胸外科,武汉430060

出　　处：《华中医学杂志》1998年第6期247-248,共2页Central China Medical Journal

摘　　要：对12例贲门失弛症合并严重并发症的病例资料进行回顾性分析,12例中合并癌变者3例,反复呕吐、呕血者7例,全食管无功能者2例。手术行全食管切除、结肠代食管术8例;食管切除、胃代食管术4例。结论:本组的12例有别于常见的贲门失弛症,宜行全食管切除、结肠或胃重建食管。Retrospective study was performed on 12 cases of achalasia associated with severe complication. of the 12 patients, 3 were associated with sequamous cell carcinoma,7 had frequent vomiting and he-matemesis, and the remaining 2 showed the entire esophagus non - function. Eight cases underwent total esophagectomy and colon replacement for esophagus,4 esophagectomy and gaster replacement for esophagus. After the operations, preoperative symptoms vanished completely. One died of metastasis. The treatment of achalasia with severe complication was different from usual esophageal achalasis. Total esophagectomy and colon or gaster replacement for esophagus was considered to be the proper operative mode for achalasia with severe complication.

关 键 词：贲门失驰症 并发症 外科手术 

分 类 号：R656.61[医药卫生—外科学]