食管胃吻合器吻合时改良结扎胃壁预防术后吻合口狭窄  

Prevention of Postoperative Anastomotic Stenosis Using Esophagogastrostomic Anastomat Combined with Modified Gastric Wall Ligation During Anastomosis

作　　者：钱菊生 黄杰[1] 

机构地区：[1]武汉大学人民医院胸外科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2016年第3期481-484,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨食管胃吻合器吻合时改良结扎胃壁预防术后吻合口狭窄的临床价值。方法:通过对常规方法食管胃吻合器吻合(120例,对照组)与食管胃吻合器吻合时改良结扎胃壁病例(120例)进行对比研究,并对两组患者术后情况进行统计学分析。结果:与对照组比较吻合改良结扎胃壁组吻合口狭窄率明显较低,两组比较差异有统计学意义(P<0.05)。结论:食管胃吻合器吻合时改良结扎胃壁操作简易,预防吻合口狭窄方便有效,能有效地提高患者生存质量。Objective：To explore the clinical value of esophagogastrostomic anastomat combined with modified gastric wall ligation during anastomosis in the prevention of postoperative anastomotic stenosis.Methods：A comparative study was conducted between patients using esophagogastrostomic anastomat by following conventional method（120cases）and those using esophagogastrostomic anastomat combined with modified gastric wall ligation during anastomosis（120cases）.The postoperative outcomes of two groups were statistically analyzed.Results：Two cases of anastomotic stenosis were reported in the group using esophagogastrostomic anastomat combined with modified gastric wall ligation during anastomosis,while 6cases were reported in the group using esophagogastrostomic anastomat by following conventional method.The anastomotic stenosis rate in the group using modified gastric wall ligation during anastomosis was significantly lower than that in the control group,suggesting a statistically significant difference between two groups（P〈0.05）.Conclusion：Considering its easy operation and convenient and effective prevention of anastomotic stenosis,esophagogastrostomic anastomat combined with modified gastric wall ligation during anastomosis can contribute to effectively improving patient quality of life.

关 键 词：食管癌贲门癌 吻合器 改良吻合 吻合口狭窄 

分 类 号：R655.4[医药卫生—外科学]