中国医药
中國醫藥
중국의약
CHINA MEDICINE
2009年
7期
540-541
,共2页
食管癌%贲门癌%吻合器
食管癌%賁門癌%吻閤器
식관암%분문암%문합기
Esophageal carcinoma%Gastric cardial carcinoma%Anastomotic instrument
目的 总结一次性国产吻合器在食管癌和贲门癌根治术中应用的临床经验.方法 对125例食管癌和贲门癌患者使用WH-Y系列一次性弯管形吻合器进行食管胃吻合.结果 全组无手术死亡,无吻合口瘘发生,发生吻合口狭窄1例(0.8%),在内镜引导下行扩张数次后吞咽困难明显改善.发生吻合口出血2例(1.6%),经应用止血药物保守治疗后均痊愈出院.结论 应用吻合器吻合可减少吻合13瘘的发生率,熟练掌握国产吻合器的使用可减少并发症的发生.
目的 總結一次性國產吻閤器在食管癌和賁門癌根治術中應用的臨床經驗.方法 對125例食管癌和賁門癌患者使用WH-Y繫列一次性彎管形吻閤器進行食管胃吻閤.結果 全組無手術死亡,無吻閤口瘺髮生,髮生吻閤口狹窄1例(0.8%),在內鏡引導下行擴張數次後吞嚥睏難明顯改善.髮生吻閤口齣血2例(1.6%),經應用止血藥物保守治療後均痊愈齣院.結論 應用吻閤器吻閤可減少吻閤13瘺的髮生率,熟練掌握國產吻閤器的使用可減少併髮癥的髮生.
목적 총결일차성국산문합기재식관암화분문암근치술중응용적림상경험.방법 대125례식관암화분문암환자사용WH-Y계렬일차성만관형문합기진행식관위문합.결과 전조무수술사망,무문합구루발생,발생문합구협착1례(0.8%),재내경인도하행확장수차후탄인곤난명현개선.발생문합구출혈2례(1.6%),경응용지혈약물보수치료후균전유출원.결론 응용문합기문합가감소문합13루적발생솔,숙련장악국산문합기적사용가감소병발증적발생.
Objective To summarize the clinical application of domestic disposable anastomotic instrument in resection of esophageal and gastric cardial carcinoma. Methods WH-Y series domestic disposable anastomotic stapler was applied in 125 patients with esophageal and gastric cardial carcinoma. Results No surgical death occurred. The incidence of anastomotic leakage was zero. The incidence of anastomotic stricture was 0.8%. The in-cidence of anastomotic hemorrhage was 1.6%. Conclusion Stapled anastomoses can reduce the incidence of anas-tomotic leakage. Good manipulation of the domestic disposable anastomotic instrument can reduce surgical complications.
