CAJ | 학술논문

回顾分析2004年1月至2009年1月收治疗的191例食管癌患者临床资料.其中肿瘤组织切除后行超胸膜顶(胸廓入口水平)器械吻合术107例、胸腔内器械吻合术84例,术后进行随访,行电子胃镜检查观察吻合口区食管黏膜有无充血发红、糜烂、溃疡、瘢痕与狭窄,在食管胃吻合口上3cm处取食管后壁黏膜组织行病理检查.食管胃胸廓人口水平器械吻合者反流性食管炎的发生率(5%)明显低于胸腔内器械吻合者(51%).
회고분석2004년1월지2009년1월수치료적191례식관암환자림상자료.기중종류조직절제후행초흉막정(흉곽입구수평)기계문합술107례、흉강내기계문합술84례,술후진행수방,행전자위경검사관찰문합구구식관점막유무충혈발홍、미란、궤양、반흔여협착,재식관위문합구상3cm처취식관후벽점막조직행병리검사.식관위흉곽인구수평기계문합자반류성식관염적발생솔(5%)명현저우흉강내기계문합자(51%).
One hundred and ninety one patients with esophageal carcinoma underwent surgical resection from January 2004 to January 2009. The gastroesophageal anastomosis was performed with auto suture instrument at superior aperture of the thorax in 107 cases (group A) and the instrument anastomosis was performed above or below the aorta arch in 84 cases ( group B ). The electron gastroscopy was performed and biopsy of mucosa at 3cm above the anastomosis was taken during the postoperative follow-up in all patients. Results showed that the incidence rate of reflux esophagitis in group A ( 5% ) was much lower than that in group B (51% ).