CAJ | 학술논문

目的评价一种新型的镍钛记忆合金加压吻合环(CAR27)用于结直肠术后肠吻合的安全性及有效性.方法 2010年1-9月,前瞻性将60例行结直肠切除术的结直肠癌患者随机配对分为两组,每组30例.一组使用CAR27进行肠吻合(CAR27吻合组),另一组使用一次性金属钉管状吻合器完成肠吻合(钉式吻合组);术后观察有无发生与肠吻合相关的并发症,并观察肠道恢复排气时间以及CAR27的排出时间.结果 CAR27吻合组与钉式吻合组患者术后均出现1例吻合口瘘,未出现与吻合相关的吻合口狭窄及肠梗阻等其他并发症.两组患者肠吻合时间分别为(10.1±1.2)min和(11.2±2.1)min,术后肠排气时间分别为(3.2±1.2)d和(3.5±1.4)d.进食时间分别为(4.0±1.4)d和(4.3±1.3)d;两组比较,差异均无统计学意义(P>0.05).CAR27吻合组患者的加压吻环均于术后7～16 d排出体外.结论应用CAR27进行结直肠术后肠道重建是一项安全、有效的新技术.
목적 평개일충신형적얼태기억합금가압문합배(CAR27)용우결직장술후장문합적안전성급유효성.방법 2010년1-9월,전첨성장60례행결직장절제술적결직장암환자수궤배대분위량조,매조30례.일조사용CAR27진행장문합(CAR27문합조),령일조사용일차성금속정관상문합기완성장문합(정식문합조);술후관찰유무발생여장문합상관적병발증,병관찰장도회복배기시간이급CAR27적배출시간.결과 CAR27문합조여정식문합조환자술후균출현1례문합구루,미출현여문합상관적문합구협착급장경조등기타병발증.량조환자장문합시간분별위(10.1±1.2)min화(11.2±2.1)min,술후장배기시간분별위(3.2±1.2)d화(3.5±1.4)d.진식시간분별위(4.0±1.4)d화(4.3±1.3)d;량조비교,차이균무통계학의의(P>0.05).CAR27문합조환자적가압문배균우술후7～16 d배출체외.결론 응용CAR27진행결직장술후장도중건시일항안전、유효적신기술.
Objective To prospectively evaluate the safety and efficacy of nickel-titanium temperature-dependent memory-shape device (CAR27) for colorectal anastomosis. Methods Sixty colorectal cancer patients were randomly divided into two groups and received colorectal anastomosis with CAR27 or traditional stapling device. Complications, bowel function return, and the extrusion of anastomosis ring were prospectively monitored. Results Both CAR27 and stapler group had one case of anastomotic leakage. Other complications such as stricture or obstruction were not found. Time for anastomosis of the two groups were (10.1±1.2) minutes and (11.2±2.1) minutes respectively. Time to first flatus was (3.2±1.2) days and (3.5±1.4) days respectively. Time to food intake resumption was (4.0±1.4) days and (4.3±1.3) days respectively. The differences above between the two groups were not statistically significant (P>0.05). The ring was expelled with stool within 7-16 days. The two groups were similar in operative time and the return of bowel function. Conclusion CAR27 is safe and simple for colorectal anastomosis.