胃浆肌瓣包套的食管胃吻合术  

Esophagogastrostomy encircled by seromuscular gastric wall flap

作　　者：韩朝阳[1] 刘飞龙[1] 苏远红[1] 夏穗生[1] 别志强[2] 熊添田 黄自章 李书广 丁孔明 

机构地区：[1]同济医科大学附属同济医院普外科,武汉430030 [2]河南省焦作市人民医院肿瘤科 [3]湖北省新洲县人民医院外科 [4]湖北省汉川县人民医院外科

出　　处：《临床外科杂志》1999年第5期266-268,共3页Journal of Clinical Surgery

摘　　要：目的　探讨预防食管、贲门癌手术后吻合口瘘和狭窄、返流性食管炎发生的方法。方法　对273例贲门癌、食管下段癌患者,随机分为治疗组145例,对照组128例,并分别采用胃浆肌瓣包套的食管胃吻合术及传统的食管胃二层同心圆吻合术。结果　治疗组无吻合口瘘及吻合口狭窄,返流性食管炎10例(6.8%)。对照组吻合口瘘9例(7.0%),狭窄5例(3.9%),返流性食管炎21例(17.1%)。结论　本术式完全避免吻合口瘘及狭窄的发生,明显减少返流性食管炎。Objective To evaluate the effects of esophagogastroplasty of esophagogastrostomy in preventing anastomotic leakage,stricture and reflux esophagitis after resection of lower esophageal or cardiac carcinoma.Methods 273 cases of lower esophageal cardiac carcinoma were randomly divided into 2 groups:The treatment group(145 cases) was treated by esophagogastrostomy encircled by sero muscular gastric wall flap while the control group(128 cases) was performed with esophagogastrostomy only.Results No anastomotic leakage or stricture was observed in treatment group,with 10 cases of reflux esophgitis only.In control group,anastomotic leakage,stricture and reflux esophagitis were 9(7 0%),5(3 9%),and 21(17 1%) respectively.Conclusions The esophagogastroplasty of esophagogastrostomy can completely avoid anastomotic leakage,stricture and significantly reduce reflux esophagitis after resection of lower esophageal or cardiac carcinoma.

关 键 词：食管胃吻合术 吻合口瘘 胃浆肌瓣包套 

分 类 号：R656.05[医药卫生—外科学]