食管胃吻合口3/4周斜形套入包埋抗食管胃吻合术后反流的研究  

Esophageal anastomotic 3/4 circle oblique sleeve embedding of anti-reflux gastroesophageal after esophagogastrostomy research

作　　者：刘战国[1] 孟宪鹏[1] 孙洪军[1] 

机构地区：[1]江苏省沛县人民医院胸外科,徐州221600

出　　处：《江西医药》2012年第1期12-14,共3页Jiangxi Medical Journal

摘　　要：目的探讨食管胃吻合术抗返流的有效方法。方法总结我院1997年1月-2010年1月间食管胃吻合术的术式选择与术后并发反流性食管炎的关系。结果应用吻合器行食管胃管吻合不包埋术后发生反流性食管炎的几率(85%,18/21),发生吻合口狭窄(4%,1/21);应用吻合器行食管胃管吻合全周包埋术(即"围巾式"吻合)后发生反流性食管炎的几率(26%,9/34),但发生吻合口狭窄(20%,7/34);应用吻合器行食管胃管吻合3/4周包埋术后发生反流性食管炎的几率(11%,3/26),发生吻合口狭窄(7%,2/26)。结论吻合器行食管胃管吻合3/4周包埋术后发生反流性食管炎的几率明显降低,发生吻合口狭窄的几率较小,是食管胃吻合术抗返流的有效方法。Objective To find an effective antirelux method after gastroesophageal reflux surgery, Methods Gastroe- sophageal reflux surgeries from 1997 to 2011 was summed up and relationship between different gastroesophageal reflux surgeries and reflux esophagitis was studied. Results The results indicated that the probability of occurrence of reflux esophagitis and stenosis of gastroenteric stoma was 85% and 4% respectively using gastroesophageal reflux surgery without embedding, the proba- bility of occurrence was 26% and 20% respectively with total embedding, and the probability of occurrence was 11% and 7% respectively with 3/4 embedding. Conclusion Therefore, the gastroesophageal reflux surgery with 3/4 embedding using anastomat is an effective antireflux method which decreases the probability of reflux esophagitis and stenosis of gastroenteric stoma sharply.

关 键 词：食管癌 反流性食管炎 抗返流术 

分 类 号：R735.1[医药卫生—肿瘤]