中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2010年
z2期
39-42
,共4页
食管癌%吻合口瘘%机械吻合%手工吻合%Meta分析
食管癌%吻閤口瘺%機械吻閤%手工吻閤%Meta分析
식관암%문합구루%궤계문합%수공문합%Meta분석
Carcinoma of esophagus%Anastomotic leak%Anastomat anastomose%Manual anasto-mose%Meta-analysis
目的：对比机械吻合与手工吻合对食管癌术后吻合口瘘发生的几率，为临床选择吻合方式提供参考依据。方法运用Meta分析方法，综合定量分析国内公开发表的有关国内食管癌患者采用机械吻合与手工吻合对预防食管癌术后吻合口瘘的12篇文献资料。结果采用手工吻合食管癌术后吻合口瘘的发生率高于机械吻合，合并OR值为0.53（95％CI：0.40-0.71）＞0，（ P ＜0.01）。结论对于降低食管癌手术后吻合口瘘方面，机械吻合优于手工吻合。
目的：對比機械吻閤與手工吻閤對食管癌術後吻閤口瘺髮生的幾率，為臨床選擇吻閤方式提供參攷依據。方法運用Meta分析方法，綜閤定量分析國內公開髮錶的有關國內食管癌患者採用機械吻閤與手工吻閤對預防食管癌術後吻閤口瘺的12篇文獻資料。結果採用手工吻閤食管癌術後吻閤口瘺的髮生率高于機械吻閤，閤併OR值為0.53（95％CI：0.40-0.71）＞0，（ P ＜0.01）。結論對于降低食管癌手術後吻閤口瘺方麵，機械吻閤優于手工吻閤。
목적：대비궤계문합여수공문합대식관암술후문합구루발생적궤솔，위림상선택문합방식제공삼고의거。방법운용Meta분석방법，종합정량분석국내공개발표적유관국내식관암환자채용궤계문합여수공문합대예방식관암술후문합구루적12편문헌자료。결과채용수공문합식관암술후문합구루적발생솔고우궤계문합，합병OR치위0.53（95％CI：0.40-0.71）＞0，（ P ＜0.01）。결론대우강저식관암수술후문합구루방면，궤계문합우우수공문합。
Objective To compare the probability of anastomotic leak in the Chinese patients with carcinoma of esophagus using anastomat anastomose and manual anastomose in order to provide some refer -ence for patients with carcinoma of esophagus .Methods By meta-analysis, we made a comprehensive a-nalysis of 12 literatures published in China on anastomat anastomose and manual anastomose in preventing anastomotic leak in patients with carcinoma of esophagus .Results The probability of anastomotic leak in patients with carcinoma of esophagus was obvious heighten in using anastomat anastomose compared to that in using manual anastomose,with the combined odds ratio(OR)value being 0.53(95%CI:0.40-0.71) >0,( P <0.01 ).Conclusion To preventing anastomotic leak in patients with carcinoma of esophagus , anastomat anastomose is more predominant than manual anastomose .
