管状胃食管新三角端端颈部器械吻合术在食管癌手术中的临床应用研究  

THE CLINICAL APPLICATION OF THE NEW TRIANGULAR END-TO-END NECK APPARATUS ANASTOMOSIS ON THE OPERATION FOR ESOPHAGEAL CANCER

作　　者：王强[1] 陈涛[1] 张力军[1] 孙照军[1] 翟传夫 马玲[1] 

机构地区：[1]山东省临沂市中医医院外科,山东临沂276002

出　　处：《山东医学高等专科学校学报》2017年第6期441-444,共4页Journal of Shandong Medical College

摘　　要：目的探讨管状胃食管新三角端端器械颈部吻合技术在食管癌手术中的应用效果。方法50例食管癌患者行颈部管状胃食管新三角端端吻合术,作为治疗组,另选40例食管癌患者行颈部手工管状胃食管端端吻合术,作为对照组,对两组吻合口瘘及吻合口狭窄等并发症发生率进行对比研究。结果治疗组无一例吻合口瘘及吻合口中重度狭窄病例发生,对照组吻合口瘘发生4例,吻合口中度狭窄达7例、重度狭窄达5例,两组比较差异均有统计学意义(P<0.05)。结论颈部管状胃食管新三角端端吻合术在可最大范围切除肿瘤同时,能有效预防术后吻合口瘘和狭窄的发生,有临床推广价值。Objective To explore the application effect of the new triangular end-to-end neck apparatus anastomosis on the operation for esophageal cancer.Methods 50 cases of esophageal cancer received new triangular end-to-end neck apparatus anastomosis in the treatment group,while other 40 cases underwent manual tubular end-to-end gastro-esophageal anastomosis in the contrast group.The incidence rates of anastomotic fistula and anastomotic stricture in both groups were compared.Results No cases of anastomotic fistula or moderate and severe anastomotic stricture were found in the treatment group,while 4 cases of anastomotic fistula,7 cases of moderate anastomotic stricture and 5 cases of severe anastomotic stricture were found in the contrast group(P <0.05).Conclusion Conclusion The new triangular end-to-end neck apparatus anastomosis can produce good effect on the operation for esophageal cancer.

关 键 词：食管癌 三角吻合 端端吻合 颈部器械吻合 吻合口瘘 吻合口狭窄 

分 类 号：R735.1[医药卫生—肿瘤]