中国肿瘤外科杂志
中國腫瘤外科雜誌
중국종류외과잡지
CHINESE MEDICAL DIGEST SURGERY
2014年
4期
208-210
,共3页
食管癌%贲门癌%单层排线吻合法%吻合口瘘%吻合口狭窄%术后并发症
食管癌%賁門癌%單層排線吻閤法%吻閤口瘺%吻閤口狹窄%術後併髮癥
식관암%분문암%단층배선문합법%문합구루%문합구협착%술후병발증
esophagus cancer%cardiac cancer%single-layer anastomesis method%anastomotic leak-age%anastomotic stenosis%pestoperative complications
目的：评价单层排线吻合法在食管癌及贲门癌术中的应用价值。方法157例食管癌、贲门癌患者采用单层排线法吻合（单层排线组），155例采用传统食管-胃双层包埋法吻合（传统组），对比两组术后吻合口瘘及狭窄的发生情况。结果单层排线组术后无1例发生吻合口瘘，仅有2例轻度吻合口狭窄（占1.27%）；传统组术后发生吻合口瘘5例（3.23%），吻合口狭窄8例（5.16%），其中5例为中、重度狭窄。两组术后吻合口瘘及狭窄的发生率比较差异有统计学意义（均 P ﹤0.05）。结论以单层排线吻合法行食管癌、贲门癌根治术食管-胃吻合，操作简单、省时、易学，并能有效预防术后吻合口瘘及吻合口狭窄。
目的：評價單層排線吻閤法在食管癌及賁門癌術中的應用價值。方法157例食管癌、賁門癌患者採用單層排線法吻閤（單層排線組），155例採用傳統食管-胃雙層包埋法吻閤（傳統組），對比兩組術後吻閤口瘺及狹窄的髮生情況。結果單層排線組術後無1例髮生吻閤口瘺，僅有2例輕度吻閤口狹窄（佔1.27%）；傳統組術後髮生吻閤口瘺5例（3.23%），吻閤口狹窄8例（5.16%），其中5例為中、重度狹窄。兩組術後吻閤口瘺及狹窄的髮生率比較差異有統計學意義（均 P ﹤0.05）。結論以單層排線吻閤法行食管癌、賁門癌根治術食管-胃吻閤，操作簡單、省時、易學，併能有效預防術後吻閤口瘺及吻閤口狹窄。
목적：평개단층배선문합법재식관암급분문암술중적응용개치。방법157례식관암、분문암환자채용단층배선법문합（단층배선조），155례채용전통식관-위쌍층포매법문합（전통조），대비량조술후문합구루급협착적발생정황。결과단층배선조술후무1례발생문합구루，부유2례경도문합구협착（점1.27%）；전통조술후발생문합구루5례（3.23%），문합구협착8례（5.16%），기중5례위중、중도협착。량조술후문합구루급협착적발생솔비교차이유통계학의의（균 P ﹤0.05）。결론이단층배선문합법행식관암、분문암근치술식관-위문합，조작간단、성시、역학，병능유효예방술후문합구루급문합구협착。
Objective To evaluate the application values of single-layer anastomosis method in the opera-tion of esophagus cancer and cardiac cancer. Methods Single-layer anastomosis method was used in esopha-gus-stomach rebuilding of 157 cases of radical operations of esophagus cancer and cardiac cancer(single-layer group);while in another group(traditional group),traditional esophagus-stomach double-layer embedding anas-tomosis method was used for 155 cases. The clinical data of these 2 groups were compared to observe the occur-rence of postoperative anastomotic leakage and anastomotic stenosis of both groups. Results In the single-layer group,no anastomotic leakage had been found,and only 2 cases has mild anastomotic stenosis(1. 27% );in the traditional group,there were 5 cases of anastomotic leakage(3. 23% )and 8 cases of anastomotic stenosis (5. 16% ),in which 5 cases had medium or severe stenosis. The comparative differences of two groups had sta-tistically significances(P ﹤ 0. 05). Conclusions Single-layer anastomosis method is time-saving,easy to oper-ate and quick to learn;it can effectively prevent postoperative anastomotic leakage and anastomotic stenosis in e-sophagus-stomach anastomosis of radical operation of esophagus cancer and cardiac cancer.
