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食管癌合并瘢痕性幽门梗阻手术治疗

Surgical Methods of Esophageal Carcinoma Complicated With Cicatricial Pyloric Obstruction

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【作者】 胡基刚杨保军杨晓刚杨福申陈英杰

【Author】 HU JI-gang,CHEN Ying-jie,YANG Xiao-gang,et al.The Affiliated Hospital of Handan Medical College ,Handan,056029,China

【机构】 邯郸医学高等专科学校附属医院心胸外科邯郸医学高等专科学校附属医院心胸外科 河北邯郸056029河北邯郸056029河北邯郸056029

【摘要】 目的 探讨食管癌合并瘢痕性幽门梗阻的手术方法。方法 对本组 18例进行手术治疗 ,其中 16例行食管癌切除 ,食管胃胸内主动脉弓上吻合 +胃空肠吻合术 ;2例行食管癌切除 ,食管胃胸内主动脉弓上吻合 +幽门成形术。结果 经上述两种治疗方法 ,本组 18例恢复顺利 ,无明显严重并发症的发生 ,效果满意。结论 Ⅰ期手术治疗食管癌合并瘢痕性幽门梗阻 ,效果满意 ,安全可行。

【Abstract】 Objective To search the surgical methods of esophageal carcinoma complicated with cicatricial pyloric obstruction .Methods 18 cases were treated with resection. Among the resections,16 cases underwent resection of esophageal carcinoma esophago-gastrostomy above aortic arch in chest plus gastro-jejunum anastomosis ;2 cases treatment with resection of esophageal carcinoma plus esophago-gastretomy above aortic arch in chest combined with pyloroplasty.Results Of 18 cases ,cure rate was 100%.No severe complications were occurred in the procedure. Conclusion Surgical operation is safe , applicable and effective in treatment of esophageal carcinoma complicated with cicatricial pyloric obstruction.

【关键词】 食管癌幽门梗阻治疗
【Key words】 Esophageal carcinomaPyloric obstructionTreatment
  • 【文献出处】 中国医师杂志 ,Journal of Chinese Physician , 编辑部邮箱 ,2003年02期
  • 【分类号】R735.1
  • 【被引频次】2
  • 【下载频次】27
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