经左胸食管胃颈内器械吻合在胸段食管癌切除中的应用研究  

Stapling Through Left Esophagus Stomach Neck Applied Research in Thoracic Esophageal Resection

作　　者：杨忠义[1] 黄坚[1] 

机构地区：[1]岳阳市第二人民医院,湖南岳阳414000

出　　处：《中外医疗》2013年第9期3-4,共2页China & Foreign Medical Treatment

摘　　要：目的分析研究经左胸食管胃颈内器械吻合在胸段食管癌切除中的应用效果和安全性。方法将该院2007年1月—2012年3月收治的胸段食管癌切除患者82例为研究对象,患者均采用经左胸食管胃颈部吻合手术。随机分为两组,对照组采用传统丝线进行手工吻合,实验组患者采用器械吻合,对比观察两组情况。结果器械组患者手术时间短,留置胸腔闭式引流管时间短,手术后住院时间短,患者进食快,与对照组比较差异有统计学意义(P<0.05);器械组患者手术后吻合口瘘等并发症发生率降低,与对照组比较差异有统计学意义(P<0.05)。结论经左胸食管胃颈内器械吻合对胸段食管癌切除手术患者的治疗效果更好,值得应用。Objective Analysis of esophagus and stomach through left internal carotid equipment anastomosis in thoracic esophageal resection in effect and security.M ethods Our hospital from January 2007 to March 2012 were treated with thoracic esophageal resection 82 patients for the study,The patients were treated with the neck by the left chest esophagogastric anastomosis.Were randomly divided into two groups,the control group using traditional silk handmade consistent,The experimental group patients Stapling contrast were observed.Results Instrument patients shorter operative time,indwelling closed thoracic drainage tube short time,shorter hospital stay after surgery,patients with eating fast,Obvious difference compared with the control group（P 0.05）;Equipment group of patients after surgery to reduce the incidence of complications such as anastomotic leakage,Significant difference（P 0.05）compared with the control group.Conclusion By the left chest esophagogastric internal carotid equipment consistent with the treatment of thoracic esophageal resection patients better,Worth applications.

关 键 词：食管胃颈内吻合 器械吻合 胸段食管癌切除 

分 类 号：R735.1[医药卫生—肿瘤]