CAJ | 학술논문

目的研究胃食管癌吻合术中吻合方式的选择与切口瘘的预防效果.方法 2007年至2012年收治的150例患者随机分为实验组和对照组各75例,对照组接受传统胃食管吻合术,实验组接受吻合器单层食管胃吻合术,对比两组患者术后吻合口瘘和狭窄等情况.结果对照组发生吻合口瘘4例(5.33％),胃食管反流8例(10.67％),实验组无一例吻合口瘘,胃食管反流7例(9.33％).实验组吻合口瘘发生率显著低于对照组(P＜0.05),胃食管反流发生率与对照组相近(P＞0.05).对照组术后发生轻度狭窄4例,中度狭窄2例,重度狭窄1例,共7例(9.33％),实验组仅发生轻度狭窄1例(1.33％),狭窄发生率显著低于对照组(P＜0.05).结论单层胃食管吻合术更接近生理结构,能减少吻合口瘘、吻合口狭窄等并发症发生率,胃食管反流发生率相近.
목적 연구위식관암문합술중문합방식적선택여절구루적예방효과.방법 2007년지2012년수치적150례환자수궤분위실험조화대조조각75례,대조조접수전통위식관문합술,실험조접수문합기단층식관위문합술,대비량조환자술후문합구루화협착등정황.결과 대조조발생문합구루4례(5.33％),위식관반류8례(10.67％),실험조무일례문합구루,위식관반류7례(9.33％).실험조문합구루발생솔현저저우대조조(P＜0.05),위식관반류발생솔여대조조상근(P＞0.05).대조조술후발생경도협착4례,중도협착2례,중도협착1례,공7례(9.33％),실험조부발생경도협착1례(1.33％),협착발생솔현저저우대조조(P＜0.05).결론 단층위식관문합술경접근생리결구,능감소문합구루、문합구협착등병발증발생솔,위식관반류발생솔상근.
Objective To study the preventive effect of arch monolayer varus gastroesophagostomy (AMVG) for fistulous on esophageal cancer.Methods 150 patients from 2007 to 2012 were randomly divided into 2 groups.The control group was treated with traditional gastroesophagostomy while the experimental group was treated with AMVG.The untoward reactions were observed.Results The control group had 4(5.33％)stomas fistula and 8(10.67％) gastro-esophageal reflux (GFR) while the experimental group had none (0％)fistula and 2(2.67％) GFR.The experimental group had a significant lower fistula rate (P＜0.05) and lower GFR rate than those of the control group (P＜0.05).The experimental group had significant less stomas narrow of 1.33％ than control group (9.33％) (P＜0.05).Conclusion The AMVG makes a more natural stomas structure and reduces complication rate such as stomas fistula,narrow and GFP.