半机械吻合与手工吻合对食管癌术后颈部吻合口狭窄的影响  

Effect of semi-mechanical anastomosis and manual suture on cervical anastomotic stenosis after operation of esophageal cancer

作　　者：黄韬[1] 洪文娟 张璟[1] 管琳[1] 熊国盛[1] 赵炜[1] 洪志鹏[1] 

机构地区：[1]昆明医科大学第一附属医院胸外科,云南昆明650032

出　　处：《中国癌症杂志》2012年第12期920-923,共4页China Oncology

摘　　要：背景与目的:食管癌是消化系统常见的恶性肿瘤,食管吻合技巧和方式直接改变了吻合口的几何形状与空间,导致术后并发症的发生。本研究旨在寻找一种降低食管癌颈部吻合术后吻合口狭窄的吻合方式。方法:选择我院2009年1月—2012年1月收治的胸中上段食管癌患者83例,其中采用胃食管颈部半机械侧-侧吻合方式39例(实验组);采用全手工端-侧吻合方式44例(对照组)。比较两组吻合方式术后吻合口的宽度和吻合口狭窄的发生率。结果:术后实验组吻合口宽度明显大于对照组(P<0.05),吻合口狭窄的发生率实验组明显低于对照组(P<0.05)。结论:颈部半机械侧-侧吻合方式能有效降低颈部吻合口狭窄的发生率。Background and purpose： Esophageal cancer is one of the most common malignant tumors of the digest system.The techniques and methods of esophageal anastomosis directly influence geometry of anastomotic stoma, and bad procedure products may result in complications. This study aimed to explore a method that can reduce the incidence of anastomotic stenosis in esophageal cervical anastomosis. Methods： Totally, 39 cases with side-to-side stapled esophagogastric anastomosis were collected as an experimental group and 44 cases with anastomosis by hand were collected as control group, we compared the width of anastomotic orifice and incidence of anastomotic stenosis between the two groups. Results： Width of anastomotic orifice in the experimental group was significantly larger than in control group, and the incidence of anastomosis stenosis in the experimental group was significantly lower than in control group. Conclusion： Side-to-side stapled esophagogastric anastomosis can effectively reduce the incidence of anastomotic stenosis in esophageal cervical anastomosis.

关 键 词：食管癌 颈部吻合 吻合口狭窄 侧-侧吻合 机械吻合 

分 类 号：R735.1[医药卫生—肿瘤]