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斜形套叠吻合法治疗食管贲门癌的探讨
Inveastigation of obligue intercept anastomosis method in the treatment of esophageal cardiac carcionoma
【摘要】 目的 探讨斜形套叠吻合新疗法预防食管癌、贲门癌吻合口瘘、狭窄和抗返流的效果。方法 采用斜形套叠吻合法治疗食管癌、贲门癌 178例 ,其中食管癌 96例 ,贲门癌 82例。结果 术后 1个月X线钡剂透视 ,钡剂通过顺畅 ,无返流。术后随访半年至 1年 ,所有病人均吞咽顺利 ,无胸骨后灼痛症状。结论 本法在开放直视下完成胃食管吻合 ,具有吻合可靠 ,吻合口大小可随时调整 ,粘膜对合整齐 ,容易操作等优点 ,对预防吻合口瘘和狭窄效果显著 ,有抗返流作用。
【Abstract】 Objective To inveastigate the e ffect of new obligne intercept amastomosis mothod on esophageal and cardiae carc ionoma to prevent stricuture and anti regurgitalion.Methods 17 8 cases of esophageal and cardiac carcionoma induding esophagtal carcionoma(96 c ases) and cardiac carcionoma(82 cases) underwent obligue imtercept anstomosis.Results X rays barium meal eamination one month after operation passed smoothly.No negurgitation was found when followed up for half to one year .All patients swallow smoothly without symtoms of postslirnal pain.Concl usion This method could complet gestro esophageal anastomosis under di rect inspection.So the anastomosis is firm and the diameter of anastomosis mouth can adjust when nessascsy,mucose anastomosis is regular.The orperation is easy and effective stomosis fistula and stricture could be prevented and the function of anti regurgitation is existing.
【Key words】 Obligue intercept Anastomosis Esophageal carc ionoma Cardiac carcionoma;
- 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine Pharmacy , 编辑部邮箱 ,2003年03期
- 【分类号】R735
- 【下载频次】12