临床外科杂志
臨床外科雜誌
림상외과잡지
JOURNAL OF CLINICAL SURGERY
2015年
4期
305-307
,共3页
高旭辉%刘雷霆%朱水波%王捷%蒋伟%殷桂林
高旭輝%劉雷霆%硃水波%王捷%蔣偉%慇桂林
고욱휘%류뢰정%주수파%왕첩%장위%은계림
端侧吻合%侧侧吻合%食管癌
耑側吻閤%側側吻閤%食管癌
단측문합%측측문합%식관암
end-to-side anastomosis%side-to-side anastomosis%esophageal cancer
目的：观察食管癌患者食管-管状胃环形吻合器端侧吻合与半器械侧侧吻合术后近期治疗效果。方法回顾性分析66例手术治疗食管癌患者的临床资料。30例采用食管-管状胃颈部半器械侧侧吻合术，36例采用食管-管状胃胸内环形吻合器端侧吻合术，比较两种吻合术后近期吻合口瘘、吻合口狭窄、反流性食管炎的发生率。结果半器械侧侧吻合术食管狭窄和反流性食管炎的发生率分别为3.3%（1/30例）和20.0%（6/30例），均低于环形吻合器吻合术的25.0%（9/36例）和61.1%（22/36例），两组比较差异有统计学意义（ P﹤0.05）；半器械侧侧吻合和环形吻合器吻合术后吻合口狭窄发生率分别为3.3%（1/30例）和5.6%（2/36例），两组比较差异无统计学意义（ P﹥0.05）。结论食管-管状胃半器械侧侧吻合与形吻合器端侧吻合比较，术后近期吻合口狭窄及反流性食管炎发生率较低。
目的：觀察食管癌患者食管-管狀胃環形吻閤器耑側吻閤與半器械側側吻閤術後近期治療效果。方法迴顧性分析66例手術治療食管癌患者的臨床資料。30例採用食管-管狀胃頸部半器械側側吻閤術，36例採用食管-管狀胃胸內環形吻閤器耑側吻閤術，比較兩種吻閤術後近期吻閤口瘺、吻閤口狹窄、反流性食管炎的髮生率。結果半器械側側吻閤術食管狹窄和反流性食管炎的髮生率分彆為3.3%（1/30例）和20.0%（6/30例），均低于環形吻閤器吻閤術的25.0%（9/36例）和61.1%（22/36例），兩組比較差異有統計學意義（ P﹤0.05）；半器械側側吻閤和環形吻閤器吻閤術後吻閤口狹窄髮生率分彆為3.3%（1/30例）和5.6%（2/36例），兩組比較差異無統計學意義（ P﹥0.05）。結論食管-管狀胃半器械側側吻閤與形吻閤器耑側吻閤比較，術後近期吻閤口狹窄及反流性食管炎髮生率較低。
목적：관찰식관암환자식관-관상위배형문합기단측문합여반기계측측문합술후근기치료효과。방법회고성분석66례수술치료식관암환자적림상자료。30례채용식관-관상위경부반기계측측문합술，36례채용식관-관상위흉내배형문합기단측문합술，비교량충문합술후근기문합구루、문합구협착、반류성식관염적발생솔。결과반기계측측문합술식관협착화반류성식관염적발생솔분별위3.3%（1/30례）화20.0%（6/30례），균저우배형문합기문합술적25.0%（9/36례）화61.1%（22/36례），량조비교차이유통계학의의（ P﹤0.05）；반기계측측문합화배형문합기문합술후문합구협착발생솔분별위3.3%（1/30례）화5.6%（2/36례），량조비교차이무통계학의의（ P﹥0.05）。결론식관-관상위반기계측측문합여형문합기단측문합비교，술후근기문합구협착급반류성식관염발생솔교저。
Objective To observe the short-term effects of end-to-side anastomosis versus side-to-side anastomosis in esophagogastrostomy. Methods The clinical data of 66 patients who underwent surgical treatment for esophageal cancer were retrospectively analyzed,including 30 patients with cervical side-to-side stapled esophagogastric anastomosis and 36 patients with circular end-to-side stapled intra-thoracic anastomosis. The short-term incidence of anastomotic leakage,stenosis and reflux esophagitis was analyzed between the two surgical treatments. Results Circular end-to-side stapled intra-thoracic anasto-mosis was associated with a stenosis rate of 25. 0%(9/36)and a reflux esophagitis rate of 61. 1%(22/36). Cervical side-to-side stapled esophagogastric anastomosis was associated with a lower rate of stenosis (3. 3%,1/30)and reflux esophagitis(20. 0%,6/30). There was no difference in the rate of reflux esoph-agitis between circular end-to-side stapled intra-thoracic anastomosis(5. 6%,2/36)and cervical side-to-side stapled esophagogastric anastomosis(3. 3%,1/30). Conclusion Compared with the circular end-to-side stapled intra-thoracic esophagogastric anastomosis,cervical side-to-side stapled esophagogastric anas-tomosis has a lower incidence of stenosis and reflux esophagitis.
