CAJ | 학술논문

目的：探讨不同吻合技术在胃癌切除消化道重建手术中的效果。方法选取我院2011年2月至2012年8月收治的143例胃癌患者，根据患者情况及治疗顺序，随机分为3组，Ⅰ组46例患者术中采用单层吻合技术，Ⅱ组47例患者术中采用双层吻合技术，Ⅲ组50例患者采用吻合器进行操作，比较3组患者的手术时间及术后并发症情况。结果在手术时间及术后并发症的比较上，Ⅰ组和Ⅲ组患者表现均低于Ⅱ组，组间差异有统计学意义（P＜0.05）；Ⅰ组和Ⅲ组在在手术时间及术后并发症的比较上，差异不明显，无统计学意义（P＞0.05）。结论在胃癌切除消化道重建手术中，采用单层吻合操作或吻合器处理可减少手术进行时间，降低术后并发症发生情况，有利于术后患者的康复及生活质量的提高。
목적：탐토불동문합기술재위암절제소화도중건수술중적효과。방법선취아원2011년2월지2012년8월수치적143례위암환자，근거환자정황급치료순서，수궤분위3조，Ⅰ조46례환자술중채용단층문합기술，Ⅱ조47례환자술중채용쌍층문합기술，Ⅲ조50례환자채용문합기진행조작，비교3조환자적수술시간급술후병발증정황。결과재수술시간급술후병발증적비교상，Ⅰ조화Ⅲ조환자표현균저우Ⅱ조，조간차이유통계학의의（P＜0.05）；Ⅰ조화Ⅲ조재재수술시간급술후병발증적비교상，차이불명현，무통계학의의（P＞0.05）。결론재위암절제소화도중건수술중，채용단층문합조작혹문합기처리가감소수술진행시간，강저술후병발증발생정황，유리우술후환자적강복급생활질량적제고。
Objective To study the different gastric resection anastomosis in reconstructive surgery of the upper gastrointestinal effects. Methods A hospital in February 2011 to 143 cases of gastric cancer patients admitted in August 2012, according to the order of the patient's condition and treatment, were randomly divided into three groups,Ⅰgroup of 46 patients using a single-layer anastomosis surgery, Ⅱ group 47 patients with double anastomosis surgery, Ⅲ group of 50 patients operated using stapler, three groups operative time and postoperative complications in patients. Results In comparison operation time and postoperative complications on, I group III and group performance were lower than patients in group Ⅱ, between the two groups was statistically significant(P<0.05)difference; Ⅰand Ⅲ group at the time of surgery and comparison of postoperative complications , the difference is not obvious, was not statistically significant(P>0.05). Conclusion Gastric resection digestive tract reconstructive surgery, using a single-layer anastomosis stapling operation or treatment can reduce surgery time, reduce the incidence of postoperative complications, conducive to the rehabilitation and improved quality of life for patients .