CAJ | 학술논문

目的：探讨双吻合器逆行吻合法在毕Ⅱ式胃肠吻合加布朗吻合中临床应用的可行性。方法回顾性分析2010年至2013年收治的远端胃癌根治切除后行毕Ⅱ式胃肠吻合加布朗吻合术病例216例，按吻合方式分组，应用双吻合逆行吻合法的126例为观察组，应用吻合器行胃肠吻合，再行手法布朗吻合的90例为对照组，分析两组手术疗效及术后并发症的发生率。结果两组手术时间、术中出血量、术后吻合口狭窄、吻合口瘘发生率比较差异均有统计学意义（ P ＜0．05）。结论应用双吻合器逆行吻合法在毕Ⅱ式胃肠吻合加布朗吻合中较单一使用胃肠吻合器吻合加手法布朗吻合可明显缩短手术时间，减少术中出血，术后并发症少，管形吻合器可反复使用，廉价安全。
목적：탐토쌍문합기역행문합법재필Ⅱ식위장문합가포랑문합중림상응용적가행성。방법회고성분석2010년지2013년수치적원단위암근치절제후행필Ⅱ식위장문합가포랑문합술병례216례，안문합방식분조，응용쌍문합역행문합법적126례위관찰조，응용문합기행위장문합，재행수법포랑문합적90례위대조조，분석량조수술료효급술후병발증적발생솔。결과량조수술시간、술중출혈량、술후문합구협착、문합구루발생솔비교차이균유통계학의의（ P ＜0．05）。결론응용쌍문합기역행문합법재필Ⅱ식위장문합가포랑문합중교단일사용위장문합기문합가수법포랑문합가명현축단수술시간，감소술중출혈，술후병발증소，관형문합기가반복사용，렴개안전。
Objective To explore the clinical application of retrograde anastomosis with double stapler in Billroth’s Ⅱ gastrointestinal anastomosis and Braun anastomosis . Methods Retrospective analysis of 216 cases having received Billroth’s Ⅱ gastrointestinal anastomosis and Braun anastomosis after radical resec-tion of distal-end gastric cancer treated in this hospital from 2010 to 2013 was made .126 cases receiving double-staper retrograde anastomosis formed the observation group ,the 90 cases receiving Braun anasto-mosis after gastrointestinal anastomosis with stapler formed the contrast group .The curative effects and the incidence of complications of the two groups were compared .Results The operation time ,intraoperative blood loss ,incidence of postoperative anastomotic stenosis ,the incidence of anastomotic fistula of the two groups were found significantly different ( P <0 .05) .Conclusion The clinical application of retrograde an-astomosis with double stapler in Billroth’s Ⅱ gastrointestinal anastomosis and Braun anastomosis can ef-fectively shorten operation time ,reduce intraoperative bleeding and reduce postoperative complications and tubular anastomats can be repeatedly used .