【摘要】 目的:探究三角吻合术和管状吻合术在食管癌患者食管切除后、食管胃颈部吻合的安全性和有效性;方法:选择2013年6月-2016年6月在本院行食管切除术后食管胃颈部吻合的164例食管癌患者,其中三角吻合术84例(A组)、管状吻合术80例(B组),比较两组吻合时间、出血量、出院时间、并发症发生率(吻合口瘘、吻合口狭窄、肺部并发症、心血管并发症)及患者满意率;结果:两组吻合时间、出血量和出院时间比较,差异均无统计学意义(P>0.05),术后A组吻合口瘘(4.76%)及吻合口狭窄(2.38%)发生率均显著低于B组(11.25%,16.25%)(P<0.05),两组肺部并发症、心血管并发症发生率比较,差异均无统计学意义(P>0.05),A组患者满意率(60.71%)显著高于B组(31.25%)(P<0.05),不满意率(8.33%)低于B组(10.00%),差异有统计学意义(P<0.05)。结论:食管癌患者行食管切除后,采用三角吻合方式吻合食管胃颈部,可显著降低吻合口瘘和吻合口狭窄的发生,不增加吻合时间、出血量和其他并发症,安全性好,患者满意度高,值得临床推广。更多还原

【Abstract】 Objective:To explore the application contrast of triangulating anastomosis and traditional circular anastomosis of esophageal cancer patients in esophagectomy and esophageal-stomach neck anastomosis.Method:From June 2013 to June 2016,164 esophageal cancer patients in our hospital were divided into two groups.Group A adopted triangulating anastomosis(n=84),and group B adopted traditional circular anastomosis(n=80).Anastomotic time,blood loss,discharge time,complications(anastomotic fistula,anastomotic stenosis,pulmonary complications and cardiovascular complications) and patients’ satisfaction of two groups werecompared.Result:Two groups’ anastomotic time,blood loss and discharge time had no significant differences(P>0.05).The incidence of postoperative anastomotic fistula(4.76%) and anastomotic stenosis(2.38%) of group A were significantly lower than those(11.25%,16.25%) of group B(P<0.05).Two groups’ pulmonary complications,cardiovascular complications had no significant differences(P>0.05). Group A’s satisfaction rate(60.71%) was significantly higher than(31.25%) of group B(P<0.05),and no satisfaction rate(8.33%) was lower than(10.00%) of group B,the difference was statistically significant(P<0.05).Conclusion:The triangulating anastomosis can significantly reduce anastomotic fistula and anastomotic stricture,no increase anastomosis time,blood loss and other complications.It has a good safety and high patient satisfaction,it is worth of promoting.更多还原