CAJ | 학술논문

目的:研究管状胃成形对预防或缓解食管癌切除术后胃食管反流的作用.方法:将93例确诊食管癌行胸段食管癌切除和胃食管吻合术患者根据术式分为传统手术组47例和管状胃手术组46例,术后观察胃食管返流症状情况和食管24小时PH监测情况.结果:传统手术组有16例(34.04%)出现不同程度的胸骨后烧灼感、嗳气和反酸等临床症状,而管状胃手术组有6例(13.04%),组间比较,P<0.05;管状胃手术组反流次数、反流百分率和最长反流时间明显低于传统手术组,P<0.05.结论:管状胃成形术能够明显预防或缓解食管癌切除术后胃食管反流的临床症状,在保证手术疗效和改善预后方面具有非常重要的意义,值得临床进一步研究.
목적:연구관상위성형대예방혹완해식관암절제술후위식관반류적작용.방법:장93례학진식관암행흉단식관암절제화위식관문합술환자근거술식분위전통수술조47례화관상위수술조46례,술후관찰위식관반류증상정황화식관24소시PH감측정황.결과:전통수술조유16례(34.04%)출현불동정도적흉골후소작감、애기화반산등림상증상,이관상위수술조유6례(13.04%),조간비교,P<0.05;관상위수술조반류차수、반류백분솔화최장반류시간명현저우전통수술조,P<0.05.결론:관상위성형술능구명현예방혹완해식관암절제술후위식관반류적림상증상,재보증수술료효화개선예후방면구유비상중요적의의,치득림상진일보연구.
Objective: To study the tubular gastroplasty role in prevention or mitigation of gastroesophageal reflux esophageal resection. Methods:93 patients diagnosed with esophageal cancer line thoracic esophagectomy and esophagogastric anastomosis patients according to surgery were divided into 47 cases of conventional surgery group and tubular stomach surgery group (46 cases) and were observed after the case of gastro-oesophageal reflux symptoms and esophageal 24hPH monitor the situation. Results: Traditional surgery group, 16 cases (34.04%) with varying degrees of retrosternal burning sensation, belching and acid reflux clinical symptoms, and six cases of the tubular stomach surgery group (13.04%), comparison between groups, P<0.05; the number of reflux of the coronary gastric surgery group, reflux percentage and longest reflux time was significantly lower than conventional surgery group (P <0.05). Conclusion:Tubular gastroplastymay be able to prevent or alleviate the esophageal resection gastroesophageal reflux clinical symptoms was very important to ensure the efficacy of the surgery and to improve the prognosis, should be worth to continue to study