贲门成形胃底再造在贲门癌手术中的应用  

THE APPLICATION OF CARDIOPLASTY AND RECONSTRUCTION OF GASTRIC FUNDUS IN THE OPERATION OF CARDIAC CARCINOMA

作　　者：王德江[1] 丛波[1] 张洪福[1] 李希波[1] 

机构地区：[1]山东医科大学附属医院胸外科

出　　处：《山东医科大学学报》1999年第3期229-230,共2页Acta Academiae Medicinae Shandong

摘　　要：为减少贲门癌手术后反流性食管炎的发生，改进了贲门癌切除残胃食管吻合法，将残胃胃底再造及残胃后壁和食管非对称单、双层吻合相结合，使吻合口形成活瓣，通过对 ６０ 例随访观察和术后钡餐检查、食管镜检查证实，本术式有效地解决了传统吻合方式术后反流性食管炎和频繁嗝气的发生，提高了贲门癌患者术后的生活质量，近期效果满意。A kind of improved esophagogastrostomy was used to reduce the incidence of postoperative esophagogastric reflux in the treatment of cardiac carcinoma for 60 cases. An anastomotic valve was made through reconstruction of gastric fundus and unsymmetrical single double layer anastomosis between esophagus and the posterior wall of residual stomach. It was confirmed by follow up, barium meal and esophagoscopy after operation. This kind of anastomosis effectively reduced postoperative esophagogastric reflux and frequent hiccup, improved life quality of the patients. The short come was satisfactory.

关 键 词：贲门肿瘤 外科手术 胃底再造 

分 类 号：R735.205[医药卫生—肿瘤]