CAJ | 학술논문

目的:解决中下段食管癌手术的反流问题,分析不均等黏贴包盖吻合口法重建小胃底的抗反流效果.方法:随机选择不均等黏贴包盖吻合口法抗反流组(A组)256例,与同期未行抗反流包埋的对照组(B组)240例做术后随访对比,分析两组吻合口反流情况.结果:不均等黏贴包盖吻合口法包埋吻合口,重建小胃底,行胸内食管胃吻合在防止吻合口反流方面效果明显.优于单纯吻合者,经Ridit分析有显著性差异(P<0.01).结论:不均等黏贴包盖吻合口法包埋吻合口,重建小胃底,行胸内食管胃吻合在防止食管胃吻合口反流方面效果良好.
목적:해결중하단식관암수술적반류문제,분석불균등점첩포개문합구법중건소위저적항반류효과.방법:수궤선택불균등점첩포개문합구법항반류조(A조)256례,여동기미행항반류포매적대조조(B조)240례주술후수방대비,분석량조문합구반류정황.결과:불균등점첩포개문합구법포매문합구,중건소위저,행흉내식관위문합재방지문합구반류방면효과명현.우우단순문합자,경Ridit분석유현저성차이(P<0.01).결론:불균등점첩포개문합구법포매문합구,중건소위저,행흉내식관위문합재방지식관위문합구반류방면효과량호.
Objective:To solve the anti-reflux problem of lower esophageal surgery for esophageal cancer and to ana-lyze the effect of unequal adhesive stoma bag cover by reconstruction.Methods:The 256 cases of esophageal cancer in the experimantal group (A group) were treated with self-adhesive bag cover unequal anti-reflux anastomosis.The 240 cas-es of esophageal cancer in the control group (B group) did not receive anti-reflux embeding management.The antireflux ef-fect was compared between the two groups.Results:Unequal adhesive cover package embedding anastomosis rebuilt the small stomach fundus.Esophagogastrostomy with intrathoracic anastomosis prevented reflux better than than a simple match anastomosis.Ridit analysis showed that the anti-reflux effect was significantly different between the two groups (P<0.01).Conclusions:Self-adhesive bag cover unequal embedding anastomosis can rebuild a small gastric fundus.Intratho-racic esophagogastric anastomosis is effective for preventing gastroesophageal reflux after surgery for esophageal cancer.