三角吻合术和传统管状吻合在食管癌患者食管切除、食管胃颈部吻合术中的应用对比  

Application Contrast of Triangulating Anastomosis and Traditional Circular Anastomosis of Esophageal Cancer Patients in Esophagectomy and Esophageal-stomach Neck Anastomosis

作　　者：彭仕骏[1] 蔡伟明[1] 林晓竹[1] 曾贵青[1] 陈伟龙[1] PENG Shi- jun CAI Wei-ming LIN Xiao-zhu et al(The People＇s Hospital of Jieyang City , Jieyang522000, Chin)

机构地区：[1]广东省揭阳市人民医院,广东揭阳522000

出　　处：《中国医学创新》2017年第8期123-127,共5页Medical Innovation of China

摘　　要：目的:探究三角吻合术和管状吻合术在食管癌患者食管切除后、食管胃颈部吻合的安全性和有效性;方法:选择2013年6月-2016年6月在本院行食管切除术后食管胃颈部吻合的164例食管癌患者,其中三角吻合术84例(A组)、管状吻合术80例(B组),比较两组吻合时间、出血量、出院时间、并发症发生率(吻合口瘘、吻合口狭窄、肺部并发症、心血管并发症)及患者满意率;结果:两组吻合时间、出血量和出院时间比较,差异均无统计学意义(P>0.05),术后A组吻合口瘘(4.76%)及吻合口狭窄(2.38%)发生率均显著低于B组(11.25%,16.25%)(P<0.05),两组肺部并发症、心血管并发症发生率比较,差异均无统计学意义(P>0.05),A组患者满意率(60.71%)显著高于B组(31.25%)(P<0.05),不满意率(8.33%)低于B组(10.00%),差异有统计学意义(P<0.05)。结论:食管癌患者行食管切除后,采用三角吻合方式吻合食管胃颈部,可显著降低吻合口瘘和吻合口狭窄的发生,不增加吻合时间、出血量和其他并发症,安全性好,患者满意度高,值得临床推广。Objective： To explore the application contrast of triangulating anastomosis and traditional circular anastomosis of esophageal cancer patients in esophagectomy and esophageal-stomach neck anastomosis. Method： From June 2013 to June 2016, 164 esophageal cancer patients in our hospital were divided into two groups.Group A adopted triangulating anastomosis （ n=84 ）, and group B adopted traditional circular anastomosis （ n=80 ） .Anastomotic time, blood loss, discharge time, complications （ anastomotic fistula, anastomotie stenosis, pulmonary complications and cardiovascular complications ） and patients＇ satisfaction of two groups were compared.Result： Two groups＇ anastomotic time, blood loss and discharge time had no significant differences （ P〉0.05 ） .The incidence of postoperative anastomotic fistula （ 4.76% ） and anastomotic stenosis （ 2.38% ） of group A were significantly lower than those （ 11.25%, 16.25% ） of group B （ P〈0.05 ） .Two groups＇ pulmonary complications, cardiovascular complications had no significant differences （ P〉0.05 ） . Group A＇s satisfaction rate （ 60.71% ） was significantly higher than （ 31.25% ） of group B （ P〈0.05 ）, and no satisfaction rate （ 8.33% ） was lower than （ 10.00% ）of group B, the difference was statistically significant （P〈0.05） .Conclusion： The triangulating anastomosis can significantly reduce anastomotic fistula and anastomotic stricture, no increase anastomosis time, blood loss and other complications.It has a good safety and high patient satisfaction, it is worth of promoting.

关 键 词：三角吻合术 食管癌 食管胃颈部吻合 食管切除 

分 类 号：R735.1[医药卫生—肿瘤]