CAJ | 학술논문

目的分析总结可吸收线连续锁边缝合法在胃空肠吻合术中的应用,探讨其临床价值.方法统计分析2012年1月至2014年3月在中国医学科学院肿瘤医院腹部外科单个治疗组采用可吸收线连续锁边缝合法的210例胃空肠吻合病例,对比同期300例采用传统全层间断缝合法的病例.观察术后吻合口相关并发症的发生概率,包括出血、吻合口漏、狭窄梗阻等.结果两组均无手术死亡病例,吻合口连续锁边缝合组有1例发生吻合口出血(1/210,0.05％),全层间断缝合组发生吻合口出血17例(17/300,5.67％),差异有统计学意义(P =0.032).连续锁边缝合组术后吻合口漏、狭窄梗阻发生率低于全层间断缝合组,但差异无统计学意义(P＞0.05).结论采用可吸收线连续锁边缝合法较全层间断缝合法显著降低了胃空肠吻合口出血的发生率,同时其他吻合口相关并发症的发生率较低,是一种较为理想的胃空肠吻合口缝合加固方法.
목적 분석총결가흡수선련속쇄변봉합법재위공장문합술중적응용,탐토기림상개치.방법 통계분석2012년1월지2014년3월재중국의학과학원종류의원복부외과단개치료조채용가흡수선련속쇄변봉합법적210례위공장문합병례,대비동기300례채용전통전층간단봉합법적병례.관찰술후문합구상관병발증적발생개솔,포괄출혈、문합구루、협착경조등.결과 량조균무수술사망병례,문합구련속쇄변봉합조유1례발생문합구출혈(1/210,0.05％),전층간단봉합조발생문합구출혈17례(17/300,5.67％),차이유통계학의의(P =0.032).련속쇄변봉합조술후문합구루、협착경조발생솔저우전층간단봉합조,단차이무통계학의의(P＞0.05).결론 채용가흡수선련속쇄변봉합법교전층간단봉합법현저강저료위공장문합구출혈적발생솔,동시기타문합구상관병발증적발생솔교저,시일충교위이상적위공장문합구봉합가고방법.
Objective To explore the application of absorbable suture continuous catcher (ASCC) method during gastrointestinal anastomosis.Methods From January 2012 to March 2014,210 patients with upper gastrointestinal tumors received ASCC method during gastrointestinal anastomosis by single treatment group.They were compared with 300 cases of full-thickness interrupted suture (FTIS) using traditional methods over the same period.Their clinical data were retrospectively analyzed,including anastomotic hemorrhage,leakage and obstruction.Results There was neither mortality nor serious abdominal complication.The ASCC group had one case of anastomotic hemorrhage (1/210,0.05％) while there were 17 cases (17/300,5.67％) in the FTIS group.The difference was statistically significant with a P value of 0.032.The ASCC group had a lower incidence of anastomotic leakage and obstruction.However,the difference was statistically insignificant with P values of 0.101 and 0.153 respectively.Conclusion As compared with the FTIS method,the ASCC method has a lower incidence of gastrointestinal anastomotic hemorrhage and other anastomotic complications.The ASCC method is an ideal suture method of gastrointestinal anastomosis reinforcement.