【作者】 韩泳涛； 彭林； 李强； 陈利华； 肖文光； 方强； 谢天鹏；

【Author】 Han Yong-tao,Peng Lin,Li Qiang,et al. Department of Thorax Surgery,Sichuan Tumor Hospital,Chengdu 610041,P.R.China

【机构】 四川省肿瘤医院胸外科；

【摘要】 目的探讨胃管状成形建重食管手术治疗食管癌临床应用效果。方法410例食管癌患者行胃管状成形重建食管手术,其中96例在颈部行胃-食或咽吻合,314例在胸内行胃-食管内吻合。术中测量做管状胃前的胃和管状胃的长度。观察手术时间、术中出血量、术后胃液引流量和内容、胸液引流量、术后输血量和围手术期对呼吸、胃排空及反流等并发症的情况。结果410例病人均治愈出院。手术时间、术中及术后输血未增加,围手术期未发生胸胃综合征,无术后胃出血、胃排空障碍和反流。无手术后死亡。结论胃管状成形重建食管术式符合生理解剖要求,减少了胸胃综合征症状和反流,提高了病人的生治质量。更多还原

【Abstract】 Objective To investigate the clinical effect of gastric tube construction in esophageal reconstruction in therapy of esophageal carcinoma.Methods Among 410esophageal carcinoma patients with gastric tube construction therapy,we operated cervical esophagogastrostomy or gastropharyngostomy in 96 patients and thoracal Esophagogastrostomy in 314 patients.Length of original stomach and gastric tube were measured during operation.We also observed operation time and hemorrhage volume during operation;gastric juice drainage volume,chest fluid drainage volume and blood transfusion volume after operation;respiration, gastric emptying and reflux complication on perioperation.Results All the 410patients were cured.Operation time and hemorrhage volume did not increase.There were no thoracic-gastro syndrome,postoperative gastrorrhagia,gastric emptying disorder,reflux and death after operation.Conclusion Gastric tube construction in esophageal reconstruction consists with physiological anatomy,and it can reduce thoracic-gastro syndrome and reflux and improve the life quality of patients.更多还原