国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
9期
1191-1193
,共3页
安得55直线型切割吻合器%胸段食管癌%手术治疗%应用价值
安得55直線型切割吻閤器%胸段食管癌%手術治療%應用價值
안득55직선형절할문합기%흉단식관암%수술치료%응용개치
ADVANT55%Esophageal carcinoma%Operation treatment%Application value
目的 对安得55直线型切割吻合器在胸段食管癌手术中的应用价值进行分析和探讨.方法 选择2012年3月至2014年3月经病理诊断确诊为胸段食道癌的患者50例,在患者胸段食道癌切除术中应用安得55直线型切割吻合器行食管胃端侧Gambee's吻合术.对50例患者管状胃吻合成形时间、总手术时间以及术后住院时间进行记录,并对患者术后的并发症发生情况进行观察和统计.结果 50例患者无一例死亡,有1例患者在手术后发生颈部吻合口瘘并吻合口狭窄,经换药和食管扩张后痊愈;1例出现心律失常,1例出现肺部感染;管状胃成形时间平均为(28.53±4.22) min,总手术时间平均为(155.6±6.34) min,术后住院时间平均为(9.5±2.7)d;管状胃成形后的胃长度和宽度与成形前相比,差异有统计学意义(P＜0.05).结论 安得55直线型切割吻合器应用于胸段食管癌手术中,操作安全简单,对患者手术创伤小,病人的住院时间缩短,住院的医疗费用减少,减轻群众的经济负担,有良好的社会效益.
目的 對安得55直線型切割吻閤器在胸段食管癌手術中的應用價值進行分析和探討.方法 選擇2012年3月至2014年3月經病理診斷確診為胸段食道癌的患者50例,在患者胸段食道癌切除術中應用安得55直線型切割吻閤器行食管胃耑側Gambee's吻閤術.對50例患者管狀胃吻閤成形時間、總手術時間以及術後住院時間進行記錄,併對患者術後的併髮癥髮生情況進行觀察和統計.結果 50例患者無一例死亡,有1例患者在手術後髮生頸部吻閤口瘺併吻閤口狹窄,經換藥和食管擴張後痊愈;1例齣現心律失常,1例齣現肺部感染;管狀胃成形時間平均為(28.53±4.22) min,總手術時間平均為(155.6±6.34) min,術後住院時間平均為(9.5±2.7)d;管狀胃成形後的胃長度和寬度與成形前相比,差異有統計學意義(P＜0.05).結論 安得55直線型切割吻閤器應用于胸段食管癌手術中,操作安全簡單,對患者手術創傷小,病人的住院時間縮短,住院的醫療費用減少,減輕群衆的經濟負擔,有良好的社會效益.
목적 대안득55직선형절할문합기재흉단식관암수술중적응용개치진행분석화탐토.방법 선택2012년3월지2014년3월경병리진단학진위흉단식도암적환자50례,재환자흉단식도암절제술중응용안득55직선형절할문합기행식관위단측Gambee's문합술.대50례환자관상위문합성형시간、총수술시간이급술후주원시간진행기록,병대환자술후적병발증발생정황진행관찰화통계.결과 50례환자무일례사망,유1례환자재수술후발생경부문합구루병문합구협착,경환약화식관확장후전유;1례출현심률실상,1례출현폐부감염;관상위성형시간평균위(28.53±4.22) min,총수술시간평균위(155.6±6.34) min,술후주원시간평균위(9.5±2.7)d;관상위성형후적위장도화관도여성형전상비,차이유통계학의의(P＜0.05).결론 안득55직선형절할문합기응용우흉단식관암수술중,조작안전간단,대환자수술창상소,병인적주원시간축단,주원적의료비용감소,감경군음적경제부담,유량호적사회효익.
Objective To explore and analyze the application value of ADVANT55 in the operation of thoracic esophageal carcinoma.Methods 50 patients who were diagnosed as thoracic esophageal carcinoma from March 2012 to March 2014 were selected,in patients with thoracic esophageal cancer resection,we applied ADVANT55 in esophageal and gastric end to side Gambee' s anastomosis,recording the tubular stomach stapling molding forming time,total operation time and hospitalization time after operation,observing and counting the occurrence of postoperative complications.Results In 50 cases,without the occurrence of death,1 patient developed cervical anastomotic leakage and anastomotic stricture after operation,by dressing and esophageal dilatation recovered,1 case occurred in arrhythmia,1 case of pulmonary infection.Gastric tube time averaged (28.53 ± 4.22) min,the average total operation time was (155.6 ± 6.34) min,the mean postoperative hospital stay was (9.5 ± 2.7) d; compared with the stomach after gastric tube length and width and before forming,with statistical significance,P ＜ 0.05.Conclusion The application of ADVANT55 in the operation of thoracic esophageal carcinoma,is safe and simple,the wound are most minor,which can shorten the time of hospitalization of patients,reduce the hospitalization cost,ease the economic burden of the masses,so it has good social benefit.
