【摘要】 目的 :探讨器械吻合器在治疗食管癌、贲门癌中的临床价值。方法 :通过回顾分析 ,将 2 13例食管癌、贲门癌切除术行器械吻合器吻合作为观察组 ,将同期 2 0 8例食管癌、贲门癌切除术行传统手工吻合作为对照组 ,并将两组进行比较分析 ,观察两组术后吻合口瘘、吻合口狭窄及吻合口出血的发生率。结果 :观察组中无吻合口瘘发生 ,发生率 0 0 0 % ,对照组中有 8例并发吻合口瘘 ,发生率 3 85 % ,两组比较有统计学差异 (P <0 0 5 ) ;观察组中仅有 1例并发吻合口狭窄 ,发生率 0 4 7% ,对照组中有 11例并发吻合口狭窄 ,发生率 5 2 9% ,两组比较有统计学差异 (P <0 0 1) ;观察组中有 1例并发吻合口出血 ,发生率0 4 7% ,对照组 2例吻合口出血 ,发生率 0 96 % ,两组比较无统计学差异 (P >0 0 5 )。结论 :食管癌、贲门癌切除术应用器械吻合器进行食管胃吻合术后吻合口瘘和吻合口狭窄的发生率低 ,吻合效果满意 ,临床应用价值乐观更多还原

【Abstract】 Objective:To evaluate the clinical value of mechanical anastomosis after removal of esophageal carcinoma and cardiac cardcinoma.Methods:213 cases of esophageal carcinoma and cardiac carcinoma treated by mechanical anastomosis were viewed as group A,and 208 cases of that treated by hand anastomsis were viewed as group B,and the incidences of stomal fistula,stomal stenosis and stomal hemorrhage of two groups were observed.Results:There werent any cases stomal fistula after operation in the group A,and there were 8 cases in the group B(0 00% and 3 85% respectively),showing statistical difference(P<0 05);there was only one case stomal stenosis after operation in the group A,and 11 cases in the group B(0 47% and 5 29% respectively),showing statistical difference(P<0 01);there was one case stomal hemorrhage after operation in the group A,and 2 cases in the group B(0 47% and 0 96% respectively),showing no statistical duifference(P>0 05).Conclusion:The incidence of stomal fistula and stomal stenosis in patients treated by mechanical anastomosis is lower than that of the traditional hand anastomosis,the results of mechanical anastomosis are pleased and clinical value is hopeful.更多还原