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结肠替代食管手术的应用与评价

Clinical Application and Evaluation of Esophagocoloplasty

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【作者】 杨辰垣; 叶世铎; 兰鸿钧; 蔡俊坚; 孙宗全; 周俊安; 管汉屏;

【Author】 Yang Chenyuan,Ye Shituo,Lan Hongjun,Cai Junjian,Sun Zougquan,Zhou Junan,Guan HanpingSection of Thoracic Surgery,Department of Surgery,1st Teaching Hospital,Wuhan Medical College,Wuhan

【机构】 武汉医学院第一附属医院外科教研室胸外科组; 武汉医学院第一附属医院外科教研室胸外科组;

【摘要】 <正> 我院自1962年至1979年采用结肠替代食管手术治疗良性食管狭窄和食管癌43例。本文对食管狭窄行食管改建手术的病例长期随访及手术的有关问题进行讨论和评价。 资料分析 病例:良性食管狭窄21例,多为化学性腐蚀烧伤引起的疤痕狭窄,计滴滴畏烧伤3例,碱烧伤12例,强酸烧伤5例,另食管结核1例。食管癌22例,其中21例为晚期食道癌手

【Abstract】 Esophagocoloplasty was performed in 21 cases of benign stricture and 22 cases of carcinoma in our hospital in 1962-1979.14 patients with benign stricture have been followed up post-operatively for a long term,among whom,6 for more than 10 years and 3 for more than 10 years and 3 for more than 15 years.13 of the 14 patients had a good functional result,their dietary regime was normal,their body weights were kept in the normal range and all have regained the ability to work.The operative technics and the post-operative complications were analysed and discussed.

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