管状胃食管新三角端端吻合术在食管癌治疗中的应用  

THE CLINICAL APPLICATION OF THE NEW TRIANGULAR END CERVICAL INSTRUMENT ANASTOMOSIS IN ESOPHAGEAL CANCER

作　　者：王强[1] 陈涛[1] 张力军[1] 孙照军[1] 翟传夫 马玲[1] WANG Qiang;CHEN Tao;ZHANG Li-jun(Linyi City Chinaese Medicine Hospital,Linyi 276002,China)

机构地区：[1]临沂市中医医院,山东临沂276002

出　　处：《山东医学高等专科学校学报》2018年第4期271-274,共4页Journal of Shandong Medical College

摘　　要：目的探讨减少食管癌术后并发症的方式。方法将130例食管癌患者随机分为治疗组和对照组,各65例。治疗组行颈部管状胃食管新三角端端吻合术,对照组行颈部手工管状胃食管端端吻合术。比较两组术后吻合口瘘及吻合口狭窄等并发症的发生率。结果治疗组术后吻合口瘘发生率为1.54%,低于对照组的12.31%(χ~2=4.30,P=0.038);两组吻合口狭窄程度比较有统计学意义(χ~2=10.29,P=0.021),治疗组优于对照组。结论颈部管状胃食管新三角端端吻合术在最大范围切除肿瘤的同时可有效预防术后吻合口瘘和狭窄的发生。Objective To explore ways to reduce postoperative complications of esophageal cancer. Methods 130 patients with esophageal cancer were randomly divided into treatment group and control group, 65 cases each. The treatment group underwent a new triangular end to end anastomosis of the cervical tubular gastroesophage, and the control group underwent manual tubular gastroesophageal end to end anastomo sis. The incidence of postoperative anastomotic leakage and anastomotic stenosis was compared between the two groups. Results The incidence of anastomotic leakage was 1.54% in the treatment group, which was lower than that in the control group 12.31%, （χ^2=4.30, P=0.038）. The degree ofanastomoticste nosis was statistically significant （χ^2=10.29, P=0.021）： the treatment group was superior to the control group. Conclusion The new triangular end to end anastomosis of the neck shaped gastroesophageal neck can effectively prevent postoperative anastomotic leakage and stenosis.

关 键 词：食管癌 吻合口瘘 吻合口狭窄 

分 类 号：R735.1[医药卫生—肿瘤]