CAJ | 학술논문

目的观察食管癌切除食管胃颈部机械吻合法与手工吻合法的疗效,对比结果.方法 2001年1月至2007年8月行食管癌胃食管颈部吻合术217例.其中胃食管颈部机械吻合法组136例,手工吻合法组81例,评价疗效.结果机械吻合组术后吻合口瘘3例(2.2%);手工吻合组9例(11.1%),差异有统计学意义(P＜0.05).颈部切口感染机械吻合组4例(2.9%),手工吻合组12例(14.8%),差异有统计学意义(P＜0.05).肺部感染、心律失常、乳糜胸、喉返神经损伤在机械吻合组和手工吻合组之间差异均无统计学意义(P＞0.05).结论颈部胃食管机械吻合法能降低吻合口瘘发生率和术后颈部切口的感染率,较手工缝合具有一定的优势.
목적 관찰식관암절제식관위경부궤계문합법여수공문합법적료효,대비결과.방법 2001년1월지2007년8월행식관암위식관경부문합술217례.기중위식관경부궤계문합법조136례,수공문합법조81례,평개료효.결과 궤계문합조술후문합구루3례(2.2%);수공문합조9례(11.1%),차이유통계학의의(P＜0.05).경부절구감염궤계문합조4례(2.9%),수공문합조12례(14.8%),차이유통계학의의(P＜0.05).폐부감염、심률실상、유미흉、후반신경손상재궤계문합조화수공문합조지간차이균무통계학의의(P＞0.05).결론 경부위식관궤계문합법능강저문합구루발생솔화술후경부절구적감염솔,교수공봉합구유일정적우세.
Objective To contrast the efficacy of mechanical stapler and hand suture for cervical esophagogastrostomy in the treatment of esophayeal cancer.Methods From January 2001 to August 2007,217 cases of cervical esophagogastrostomy were done in esophageal carcinoma.Among them.136 cases were treated by mechanical stapler and 81 cases by hand.Results The incidence of anastomotic fistula was 2.2%(3/136)in mechanical stapler group and 11.1%(9/81)in the group by hand.There was significant difference between the two groups(P＜0.95).The incidence of cervical incision infection was 2.9%(4/136)in mechanical stapler group and 14.8%(12/81)in the group by hand.There was significant difference between these two groups(P＜0.05).There was no significant difference between these two groups about pulmonary infection,arrhythmia,chylothorax and laryngeal nerve injury.Conclusion The incidence of anastomotic fistula and cervical incision infection was reduced by mechanical stapler which was displayed to advantage in esophagogastrostomy.