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消化道吻合技术对吻合口并发症的影响

Effect of Digestive Tract Anastomosis Technique on Complications of Anastomotic Stoma

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【作者】 田明亮

【Author】 TIAN Ming-liang;The first affiliated hospital of Baotou medical college, Department of surgical oncology;

【机构】 包头医学院第一附属医院肿瘤外科

【摘要】 目的研究消化道吻合技术对吻合口并发症的影响。方法整群选取2010年1月—2015年12月该院对657例消化道疾病患者行手术治疗,比较患者的临床资料、手术吻合方式及术后并发症的发生率并按手术吻合方式不同比较手工吻合和器械吻合技术对吻合口并发症的影响。结果手工吻合的并发症的发生率为7.25%,机械吻合的为2.89%,两组数据对比,结果差异有统计学意义(P<0.05)。结论新技术器械吻合技术的应用使吻合口的并发症日益减少,吻合器在消化道吻合技术中的应用具有并发症发生率低、操作简便、吻合密实等优点,所以值得临床应用与推广,但同样存在并发症的发生,传统的手工吻合技术依旧是外科医生的基本功。

【Abstract】 Objective To study the effect of digestive tract anastomosis anastomotic complications. Methods Group selection from January 2010 to December 2015 in 657 cases of surgical treatment in patients with digestive tract diseases, the clinical data of patients were compared, and the incidence rate of anastomosis and postoperative complications after surgery by anastomosis anastomosis anastomosis and comparison of different effects of Technology. Results The anastomosis complication rate was 7.25%, the mechanical anastomosis was 2.89%, two groups of data comparison, the results for the difference was statistically significant(P < 0.05). Conclusion the new technique of stapling technique applied to anastomotic complications decreasing, anastomat with low complication rate in the application in the digestive tract anastomosis with the advantages of simple operation, compact, so it is worthy of clinical application and promotion, but also the existence of complications. Students, traditional manual anastomosis technology is still the basic skills of the surgeon.

【关键词】 消化道吻合技术吻合口
【Key words】 The digestive tractAnastomosisAnastomotic stoma
  • 【文献出处】 中外医疗 ,China & Foreign Medical Treatment , 编辑部邮箱 ,2016年21期
  • 【分类号】R735
  • 【下载频次】77
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