CAJ | 학술논문

背景与目的:食管癌是消化系统常见的恶性肿瘤,食管吻合技巧和方式直接改变了吻合口的几何形状与空间,导致术后并发症的发生.本研究旨在寻找一种降低食管癌颈部吻合术后吻合口狭窄的吻合方式.方法:选择我院2009年1月—2012年1月收治的胸中上段食管癌患者83例,其中采用胃食管颈部半机械侧-侧吻合方式39例(实验组);采用全手工端-侧吻合方式44例(对照组).比较两组吻合方式术后吻合口的宽度和吻合口狭窄的发生率.结果:术后实验组吻合口宽度明显大于对照组(P<0.05),吻合口狭窄的发生率实验组明显低于对照组(P<0.05).结论:颈部半机械侧-侧吻合方式能有效降低颈部吻合口狭窄的发生率.
배경여목적:식관암시소화계통상견적악성종류,식관문합기교화방식직접개변료문합구적궤하형상여공간,도치술후병발증적발생.본연구지재심조일충강저식관암경부문합술후문합구협착적문합방식.방법:선택아원2009년1월—2012년1월수치적흉중상단식관암환자83례,기중채용위식관경부반궤계측-측문합방식39례(실험조);채용전수공단-측문합방식44례(대조조).비교량조문합방식술후문합구적관도화문합구협착적발생솔.결과:술후실험조문합구관도명현대우대조조(P<0.05),문합구협착적발생솔실험조명현저우대조조(P<0.05).결론:경부반궤계측-측문합방식능유효강저경부문합구협착적발생솔.
Background and purpose:Esophageal cancer is one of the most common malignant tumors of the digest system.The techniques and methods of esophageal anastomosis directly influence geometry of anastomotic stoma, and bad procedure products may result in complications. This study aimed to explore a method that can reduce the incidence of anastomotic stenosis in esophageal cervical anastomosis. Methods:Totally, 39 cases with side-to-side stapled esophagogastric anastomosis were collected as an experimental group and 44 cases with anastomosis by hand were collected as control group, we compared the width of anastomotic orifice and incidence of anastomotic stenosis between the two groups. Results:Width of anastomotic orifice in the experimental group was significantly larger than in control group, and the incidence of anastomosis stenosis in the experimental group was significantly lower than in control group. Conclusion:Side-to-side stapled esophagogastric anastomosis can effectively reduce the incidence of anastomotic stenosis in esophageal cervical anastomosis.