【摘要】 目的比较胃经主动脉弓前、后弓上食管胃吻合2种路径的优劣。方法将140例食管中下段癌患者按就诊顺序分别编入实验组和对照组,每组各70例。实验组(弓后组)胃经食管床从主动脉弓后提至主动脉弓上行食管胃端侧吻合;对照组(弓前组)胃经主动脉弓前提至主动脉弓上行食管胃端侧吻合。结果实验组和对照组术后肺部感染发生率(1.4%和10%)进食后饱胀胸闷发生率(4.2%和14.4%)及胸腔引流液总量>700ml(2.8%和12.8%)比较,均有显著性差异(P均<0.05),实验组优于对照组。结论经食管床主动脉弓上食管胃端侧吻合是1种并发症少、临床效果较好的手术方法。更多还原

【Abstract】 Objective Approach the pathway of anastomotic of esophagus. Comprase the different between anastomotic after aortic arch and anastomotic before aortic arch.Methods experimental group anastomotic after aortic arch, control group anastomotic before aortic arch.Results The aspect of pulmonary infection(1.4% vs 10.0%),chest distress(4.2% vs 14.4%), pleural fluid>700 ml(2.8% vs 12.8%) is differently between the two group,experimental group is lower(P<0.05).Conclusion The pathway of anastomotic through the esophageal table behind aortic arch is a better method of lower tate complications and more effective.更多还原