CAJ | 학술논문

目的：研究胃壁内凸缝合术治疗食管癌术后反流性食管炎的效果。方法将84例食管癌患者随机分为胃壁内凸缝合组（观察组）和对照组，各42例，观察组在机械吻合的基础上加胃壁内凸缝合术，对照组行单纯机械吻合术。术后比较两组患者的食管反流液pH值、炎症反应发生率和自觉症状。结果观察组患者食管腔内反流液pH值明显高于对照组，反流性食管炎发生率（35.7％）显著低于对照组（81.6％），差异有统计学意义。结论胃壁内凸缝合术能有效防止食管癌术后反流性食管炎的发生。
목적：연구위벽내철봉합술치료식관암술후반류성식관염적효과。방법장84례식관암환자수궤분위위벽내철봉합조（관찰조）화대조조，각42례，관찰조재궤계문합적기출상가위벽내철봉합술，대조조행단순궤계문합술。술후비교량조환자적식관반류액pH치、염증반응발생솔화자각증상。결과관찰조환자식관강내반류액pH치명현고우대조조，반류성식관염발생솔（35.7％）현저저우대조조（81.6％），차이유통계학의의。결론위벽내철봉합술능유효방지식관암술후반류성식관염적발생。
Objective To study the intramural convex suture in the treatment of esopHageal cancer postoperative reflux esopHagitis effect. Methods 84 cases of esopHageal cancer patients were randomly divided into control group and treatment group with 42 cases in each group,the control group treated by simple mechanical anastomosis while the treatment group mechanical anastomosis with convex suture full-thickness gastric. The two group were compared with esopHageal reflux liquid pH,inflammatory reaction and the incidence of symptoms after the operation. Results The treatment group patients with esopHageal reflux liquid pH was significantly higher than that of control group and treatment group,the incidence rate of reflux esopHagitis was 35.7%lower than the control group is 81.6%,difference has statistical significance. Conclusion The occurrence of intramural convex suture can effectively prevent esopHageal cancer postoperative reflux esopHagitis.