CAJ | 학술논문

目的：比较食管癌（ EC）术中器械吻合（ FLVA）和手工分层吻合（ LHS）的临床特点。方法：将230例EC患者分为LHS组（118例）和FLVA组（112例），术中分别接受LHS和FLVA。结果：LHS组吻合口狭窄发生率低于FLVA组（χ2＝3.9602， P﹤0.05），FLVA组吻合口瘘发生率明显高于LHS组（ P﹤0.05），术后死亡率，FLVA组高于LHS组。LHS组综合费用、手术材料费皆显著低于FLVA组（P﹤0.01），而两组术后住院费相接近（P>0.05），LHS组手术时间则长于FLVA组（P﹤0.05）。结论：EC手术中，采用LHS术后严重并发症及术后死亡率低于FLVA，且综合费用、手术材料费皆较低，因此，值得临床广泛推广和应用。
목적：비교식관암（ EC）술중기계문합（ FLVA）화수공분층문합（ LHS）적림상특점。방법：장230례EC환자분위LHS조（118례）화FLVA조（112례），술중분별접수LHS화FLVA。결과：LHS조문합구협착발생솔저우FLVA조（χ2＝3.9602， P﹤0.05），FLVA조문합구루발생솔명현고우LHS조（ P﹤0.05），술후사망솔，FLVA조고우LHS조。LHS조종합비용、수술재료비개현저저우FLVA조（P﹤0.01），이량조술후주원비상접근（P>0.05），LHS조수술시간칙장우FLVA조（P﹤0.05）。결론：EC수술중，채용LHS술후엄중병발증급술후사망솔저우FLVA，차종합비용、수술재료비개교저，인차，치득림상엄범추엄화응용。
Objective To study the clinical characteristics of instrument and manual layered anastomosis in esophageal anastomo-sis. Method 230 EC patients were divided into LHS group(118 cases)and FLVA group(112 cases),intraoperative accepted LHS and FLVA respectively. Results LHS had lower incidence of anastomotic stenosis than FLVA group( chi-square χ2 =3. 9602,P=3. 960 2), and the incidence of anastomotic fistula FLVA group was obviously higher than that of LHS group(P=0. 007 5),postoperative mortality in FLVA group was higher than the LHS. In LHS group comprehensive cost,operation cost of raw materials were significantly lower than FLVA group(P﹤0. 01),and postoperative hospitalization cost in two groups were similar(P>0. 05),and in LHS operation time was slightly longer than FLVA group( P ﹤0. 05 ). Conclusion EC in the operation,using LHS serious postoperative complications and postoperative mortality are lower than the FLVA,and with lower comprehensive cost,operation cost of raw materials. Therefore,it is worthy of clinical ap-plication and spread.