CAJ | 학술논문

目的探讨食管胃吻合旋转包埋缝缩法和食管胃吻合包埋缝缩法在食管下端癌及贲门癌术后胃食管反流发生率的差异。方法对分别采用食管胃吻合旋转包埋缝缩法和食管胃吻合包埋缝缩法（对照组）各25例术后1～3个月进行随访。结果食管胃吻合旋转包埋缝缩法术后的胃食管反流临床症状明显低于对照组(P＜0.05）；钡餐结果食管胃吻合旋转包埋缝缩法发生胃食管反流的机率明显低于对照组(P＜0.05）；pH监测结果食管胃吻合旋转包埋缝缩法与对照组有显著性差异（P<0.05）；结论食管胃吻合旋转包埋缝缩法能有效抗胃食管反流，术后病人生活质量明显提高。
목적탐토식관위문합선전포매봉축법화식관위문합포매봉축법재식관하단암급분문암술후위식관반류발생솔적차이。방법대분별채용식관위문합선전포매봉축법화식관위문합포매봉축법（대조조）각25례술후1～3개월진행수방。결과식관위문합선전포매봉축법술후적위식관반류림상증상명현저우대조조(P＜0.05）；패찬결과식관위문합선전포매봉축법발생위식관반류적궤솔명현저우대조조(P＜0.05）；pH감측결과식관위문합선전포매봉축법여대조조유현저성차이（P<0.05）；결론식관위문합선전포매봉축법능유효항위식관반류，술후병인생활질량명현제고。
Objective　To evaluate the differences between postoperatively gastroesophageal reflux caused by gastroesophagostomy with rotated and imbeded stitch way and with imbeded stitch way.Methods　25 patients in experimental group were treated by gastroesophagostomy with rotated and imbeded stitch way,25 patients in control group ,treated with imbeded stitch way.Results　Patients' clinical symptom,barium meal examine and esophageal PH monitor showed that the rate of postoperativeal gastroesophageal reflux in experimental group was less than that of control group.Conclusion　Gastroesophagostomy with rotated and imbeded stitch way could reduce postoperatively gastroesophageal reflux and improve patient's prognosis.