食管黏膜延长预防食管吻合口瘘的临床研究  

Clinical research on prevention of esophageal anastomosis fistula by prolonged esophageal mucosa

作　　者：姚梦旭 郑世营[1] 万翼龙 蒋东[1] YAO Mengxu;ZHENG Shiying;WAN Yilong;JIANG Dong(Department of Chest Surgery,the First Affiliated Hospital of Soochow University,Suzhou215000,China)

机构地区：[1]苏州大学附属第一医院胸外科,江苏苏州215000

出　　处：《中国现代医生》2021年第16期114-116,共3页China Modern Doctor

摘　　要：目的研究食管黏膜延长能否预防食管吻合口瘘。方法回顾性分析2018年1月至2019年12月在本院胸外科接受手术治疗的205例食管癌患者的临床资料。其中接受食管黏膜延长手术的食管癌患者65例为观察组,接受常规手术的140例为对照组。比较两组患者的基本临床资料、手术时间、术中出血量及术后食管吻合口瘘发生率。结果两组患者的基本临床资料比较,差异无统计学意义(P>0.05)。观察组手术时间明显短于对照组,差异有统计学意义(P<0.05),两组术中出血量比较,差异无统计学意义(P>0.05);观察组患者术后吻合口瘘的发生率为3.08%,明显低于对照组的12.86%,差异有统计学意义(P<0.05)。结论食管黏膜延长可以有效预防食管癌术后吻合口瘘的发生,不失为一种食管胃吻合的新方法。Objective To research the possibility in prevention of esophageal anastomosis fistula by prolonged esophageal mucosa.Methods The clinical data of 205 patients with esophageal cancer undergoing surgical treatment admitted to our hospital from January 2018 to December 2019 were analyzed retrospectively,and they were divided into the observation group(n=65)and the control group(n=140).Among them,patients with esophageal cancer in the observation group were treated with prolonged esophageal mucosa surgery,while those in the control group were treated with conventional surgery.The basic clinical data,surgical time,intraoperative bleeding volume and incidence of postoperative esophageal anastomosis fistula were compared between patients in the two groups.Results There was no statistically significant difference in the basic clinical data between the two groups(P>0.05).The operation time in the observation group was shorter than that in the control group,with statistically significant difference(P<0.05),and there was no statistically significant difference in the intraoperative blood loss between the two groups(P>0.05).The incidence of esophageal anastomosis fistula in the observation group was 3.08%,which was significantly lower than that of 12.86%in the control group,with statistically significant difference(P<0.05).Conclusion Prolonged esophageal mucosa can effectively prevent the occurrence of postoperative esophageal anastomosis fistula after esophageal cancer,which is a new method of esophagogastrostomy in a sense.

关 键 词：食管癌 术后吻合口瘘 食管黏膜延长 食管吻合方式 

分 类 号：R735.1[医药卫生—肿瘤]