食管胃吻合器吻合时改良结扎胃壁治疗食管癌的疗效观察  

Clinical study of modified gastric wall ligation in gastroesophageal anastomosis for esophageal carcinoma

作　　者：苏文杰 SU Wenjie(No.2 Departmenl of General Surgery, Guangqian Hospital Of Quanzhou City, Quanzhou 362321, China)

机构地区：[1]泉州市光前医院外二科,福建泉州362321

出　　处：《皖南医学院学报》2017年第4期358-360,共3页Journal of Wannan Medical College

摘　　要：目的:探讨食管胃吻合器吻合时改良结扎胃壁治疗食管癌的疗效。方法:选取2013年1月~2015年6月我院收治的220例食管癌患者作为研究对象,所有患者均接受开胸食管癌根治术治疗,根据术中食管胃吻合器吻合方式将上述患者分为观察组(117例)与对照组(103例),观察组患者在食管胃吻合器吻合时对胃壁进行改良结扎,对照组患者采用常规方法行食管胃吻合器吻合,现对比分析两组患者的疗效。结果:观察组吻合口狭窄发生率显著低于对照组,差异有统计学意义(1.71%vs 8.74%,χ2=5.6968,P=0.0187),两组患者吻合口瘘发生率相比差异无统计学意义(0.85%vs 3.88%,χ2=1.1043,P=0.3120)。结论:食管胃吻合器吻合时改良结扎胃壁治疗食管癌的疗效确切,具有术后吻合口狭窄发生率低等优点。Objective：To observe the clinical outcomes of applying modified gastric wall ligation in gastroesophageal anastomosis to the treatment of esophageal carcinoma.Methods： 220 patients with esophageal cancer admitted to our hospital were included between January 2013 and June 2016. All patients underwent radical open surgery, and were allocated to observational group （n = 117） and control group （n = 103 ） by the surgical modality. Patients in the observational group were given modified gastric wall ligation during gastroesophageal anastomosis, whereas those in the control group were treated using conventional esophagogastrostomic anastomosis instrument.Then the treatment effects were compared between groups.Results ： The incidence of postoperative anastomotic stenosis was significantly tower in the observational group than the control group （ 1.71% vs.8.74%, X2 = 5.6968, P = 0.0187 ）, yet the anasto- motic leakage remained no significant difference（0.85% vs.3.88% ,X2= 1. 1043, P = 0.3120）.Conclusion： Modified gastric wall ligation during gastroesophageal anastomosis can be better outcomes in treatment of esophageal carcinoma,and have lower incidence of postoperative anastomotic stenosis.

关 键 词：食管胃吻合器 食管癌 吻合口狭窄 改良结扎 食管癌根治术 

分 类 号：R735.1[医药卫生—肿瘤]