食管胃胸内器械吻合+胃侧荷包缝合与常规食管胃胸内器械吻合在食管癌根治术中吻合口并发症发生率比较(1)
【摘要】 目的 探究食管胃胸内器械吻合+胃侧荷包缝合与常规食管胃胸内器械吻合在食管癌根治术中吻合口并发症发生率比较。方法 145例食管癌患者， 随机分成常规组(76例)与改良组(69例)。常规组采用常规食管胃胸内器械吻合治疗， 改良组采用食管胃胸内器械吻合+胃侧荷包缝合治疗。比较两组患者吻合口并发症发生率。结果 改良组术后吻合口瘘发生率(0)及吻合口狭窄发生率(0)均低于常规组(9.2%、6.6%)， 差异均具有统计学意义 (P<0.05)。结论 食管胃胸内器械吻合+胃侧荷包缝合治疗技术与常规食管胃胸内器械技术相比， 具有操作简单、安全等特点， 降低了在食管胃胸内器械吻合术中吻合口并发症的发生率。
【关键词】 胃侧荷包缝合；常规食管胃胸内器械吻合；吻合口瘘； 吻合口狭窄
DOI：10.14163/j.cnki.11-5547/r.2017.21.015
Comparison on incidence of anastomotic complications by esophageal and intragastric anastomosis + gastric side purse-string suture and conventional esophageal and intragastric anastomosis in esophageal cancer radical surgery WANG Shi-meng. Department of Thoracic Surgery， Heze Municipal Hospital， Heze 274000， China
【Abstract】 Objective To explore the incidence of anastomotic complications by esophageal and intragastric anastomosis + gastric side purse-string suture and conventional esophageal and intragastric anastomosis in esophageal cancer radical surgery. Methods A total of 145 esophageal cancer patients were randomly divided into conventional group (76 cases) and improved group (69 cases). The conventional group received conventional esophageal and intragastric anastomosis for treatment， and the improved group received esophageal and intragastric anastomosis + gastric side purse-string suture for treatment. The incidence of anastomotic complications was compared in two groups. Results The improved group had lower incidence of postoperative anastomotic fistula (0) and anastomotic stenosis (0) than conventional group (9.2%， 6.6%)， and their difference had statistical significance (P<0.05). Conclusion Compared with conventional esophageal and intragastric anastomosis， esophageal and intragastric anastomosis + gastric side purse-string suture shows the characteristics of simple operation and safety， and it reduces the incidence of anastomotic complications in esophageal and intragastric anastomosis.
【Key words】 Gastric side purse-string suture； Conventional esophageal and intragastric anastomosis； Anastomotic fistula； Anastomotic stenosis
在治療食管癌的医学手段中， 食管胃胸内器械吻合技术成为食管癌主要治疗方法， 术后患者出现吻合口瘘率虽然有明显降低的趋势， 但是吻合口瘘和吻合口狭窄仍旧是威胁食管癌患者生命的严重问题[1]， 本文针对患有食管癌的145例患者所采取的不同治疗手术方式进行临床治疗与观察， 做出以下对比与分析。
1 资料与方法
1. 1 一般资料 选取本院2016年1～12月食管癌患者145例为研究对象。通过对患者胃镜组织细胞进行检查证实， 发现食管鳞癌患者100例， 食管胃结合部腺癌患者45例。将145例患者随机分成常规组(76例)与改良组(69例)。其中， 常规组男55例， 女 21例， 年龄45～70岁， 平均年龄(52±10)岁；改良组男42例， 女27例， 年龄45～70岁， 平均年龄(60±6)岁。两组患者一般资料比较， 差异无统计学意义(P>0.05)， 具有可比性。, 百拇医药(王士猛)
【关键词】 胃侧荷包缝合；常规食管胃胸内器械吻合；吻合口瘘； 吻合口狭窄
DOI：10.14163/j.cnki.11-5547/r.2017.21.015
Comparison on incidence of anastomotic complications by esophageal and intragastric anastomosis + gastric side purse-string suture and conventional esophageal and intragastric anastomosis in esophageal cancer radical surgery WANG Shi-meng. Department of Thoracic Surgery， Heze Municipal Hospital， Heze 274000， China
【Abstract】 Objective To explore the incidence of anastomotic complications by esophageal and intragastric anastomosis + gastric side purse-string suture and conventional esophageal and intragastric anastomosis in esophageal cancer radical surgery. Methods A total of 145 esophageal cancer patients were randomly divided into conventional group (76 cases) and improved group (69 cases). The conventional group received conventional esophageal and intragastric anastomosis for treatment， and the improved group received esophageal and intragastric anastomosis + gastric side purse-string suture for treatment. The incidence of anastomotic complications was compared in two groups. Results The improved group had lower incidence of postoperative anastomotic fistula (0) and anastomotic stenosis (0) than conventional group (9.2%， 6.6%)， and their difference had statistical significance (P<0.05). Conclusion Compared with conventional esophageal and intragastric anastomosis， esophageal and intragastric anastomosis + gastric side purse-string suture shows the characteristics of simple operation and safety， and it reduces the incidence of anastomotic complications in esophageal and intragastric anastomosis.
【Key words】 Gastric side purse-string suture； Conventional esophageal and intragastric anastomosis； Anastomotic fistula； Anastomotic stenosis
在治療食管癌的医学手段中， 食管胃胸内器械吻合技术成为食管癌主要治疗方法， 术后患者出现吻合口瘘率虽然有明显降低的趋势， 但是吻合口瘘和吻合口狭窄仍旧是威胁食管癌患者生命的严重问题[1]， 本文针对患有食管癌的145例患者所采取的不同治疗手术方式进行临床治疗与观察， 做出以下对比与分析。
1 资料与方法
1. 1 一般资料 选取本院2016年1～12月食管癌患者145例为研究对象。通过对患者胃镜组织细胞进行检查证实， 发现食管鳞癌患者100例， 食管胃结合部腺癌患者45例。将145例患者随机分成常规组(76例)与改良组(69例)。其中， 常规组男55例， 女 21例， 年龄45～70岁， 平均年龄(52±10)岁；改良组男42例， 女27例， 年龄45～70岁， 平均年龄(60±6)岁。两组患者一般资料比较， 差异无统计学意义(P>0.05)， 具有可比性。, 百拇医药(王士猛)