【摘要】 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 食管一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。更多还原

【Abstract】 Objective To observe the short-term effects of end-to-side anastomosis versus sideto-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 intrathoracic 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 anastomosis 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 esophagitis between circular end-to-side stapled intra-thoracic anastomosis(5.6%,2/36) and cervical side-toside stapled esophagogastric anastomosis(3.3%,1/30).Conclusion Compared with the circular end-toside stapled intra-thoracic esophagogastric anastomosis,cervical side-to-side stapled esophagogastric anastomosis has a lower incidence of stenosis and reflux esophagitis.更多还原