CAJ | 학술논문

目的探讨一次性国产吻合器在食管和贲门癌手术中的临床疗效. 方法将食管癌和贲门癌205例患者随机分为吻合器组,手工吻合组.吻合器组患者术中应用常州WH-Y型一次性圆型吻合器吻合,手工吻合组常规手工吻合.比较两组手术时间、吻合口瘘发生率及吻合口狭窄率.结果吻合器组平均手术时间102.5min,无吻合口瘘发生,吻合口狭窄率为0.80%,与对照组比较差异有统计学意义 (P＜0.05).结论一次性国产吻合器吻合在食管和贲门癌手术中安全可靠、疗效确切,可缩短手术时间,减少术后吻合口瘘及吻合口狭窄率.
목적 탐토일차성국산문합기재식관화분문암수술중적림상료효. 방법 장식관암화분문암205례환자수궤분위문합기조,수공문합조.문합기조환자술중응용상주WH-Y형일차성원형문합기문합,수공문합조상규수공문합.비교량조수술시간、문합구루발생솔급문합구협착솔.결과 문합기조평균수술시간102.5min,무문합구루발생,문합구협착솔위0.80%,여대조조비교차이유통계학의의 (P＜0.05).결론 일차성국산문합기문합재식관화분문암수술중안전가고、료효학절,가축단수술시간,감소술후문합구루급문합구협착솔.
Objective To evaluate the clinical therapeutic effect of domestic disposable stapler in upper digestive tract reconstruction. Methods Two hundred and five patients with esophageal and cardial carcinoma were divided randomly into surgical stapler group and hand-made group.The time of operation, the incidence rate of anastomotic leakage and anastomotic stricture were observed. Result In surgical stapler group, the average time of operation was 102.5 minutes, the incidence rate of anastomotic leakage was zero, and the rate of anastomotic anastomotic stricture was 0.80%.There were significant diference between surgical stapler group and hand-made group (P<0.05). Conclusion Domestic disposable stapler can be used safely and reliably in upper digestive tract surgery,and the stapled anastomosis is an effective technique to reduce the incidence 0f anastomotic leakage and anastomotic stricture.