CAJ | 학술논문

目的：分析食管斜形吻合预防吻合口狭窄的效果。方法将2008年1月-2011年12月手术治疗的163例食管癌患者随机分成2组，试验组86例，采用食管斜形端端吻合；对照组77例，采用传统方法横断面端端吻合，术后随访6个月～2年，对出现吻合口狭窄12例（7.5%）患者进行总结和分析。结果围手术期死亡2例（试验组1例、对照组1例），试验组对出现吻合口狭窄3例（3.5%），而对照组出现吻合口狭窄9例（11.8%）。两组比较差异有统计学意义(P<0.05)。结论食管斜形吻合可以降低食管癌术后吻合口狭窄发生率，提高患者生活质量。
목적：분석식관사형문합예방문합구협착적효과。방법장2008년1월-2011년12월수술치료적163례식관암환자수궤분성2조，시험조86례，채용식관사형단단문합；대조조77례，채용전통방법횡단면단단문합，술후수방6개월～2년，대출현문합구협착12례（7.5%）환자진행총결화분석。결과위수술기사망2례（시험조1례、대조조1례），시험조대출현문합구협착3례（3.5%），이대조조출현문합구협착9례（11.8%）。량조비교차이유통계학의의(P<0.05)。결론식관사형문합가이강저식관암술후문합구협착발생솔，제고환자생활질량。
Objective To observe effect of esophageal sloped anastomosis to prevent anastomotic stenosis. Methods 163 cases carcinoma of esophagus from January 2008 to December 2011 were randomly divided into 2 groups, the experimental group had 86 cases, used esophageal sloped end to end anastomosis, the control group had 77 cases, used the traditional methods cross-sectional end to end anastomosis, the patients were followed up for 6 months to 2 years, The 12 cases (7.5%) of appear anastomotic stenosis were summarized and analyzed. Results Two cases died perioperative (experimental group 1 case, the control group 1 case), the experimental group appeared anastomotic stenosis 3 cases (3.5%), and control group appear anastomotic stenosis 9 cases (11.8%). Differences between the two groups had statistical significant (P<0.05). Conclusion Esophageal sloped anastomosis can reduce with esophageal anastomotic stenosis rate and improve the patients’ quality of life.