吻合器斜形吻合预防食管吻合口狭窄效果分析

【摘要】 目的分析食管斜形吻合预防吻合口狭窄的效果。方法将2008年1月-2011年12月手术治疗的163例食管癌患者随机分成2组,试验组86例,采用食管斜形端端吻合;对照组77例,采用传统方法横断面端端吻合,术后随访6个月~2年,对出现吻合口狭窄12例(7.5%)患者进行总结和分析。结果围手术期死亡2例(试验组1例、对照组1例),试验组对出现吻合口狭窄3例(3.5%),而对照组出现吻合口狭窄9例(11.8%)。两组比较差异有统计学意义(P<0.05)。结论食管斜形吻合可以降低食管癌术后吻合口狭窄发生率,提高患者生活质量。更多还原

【Abstract】 Objective To observe effect of esophageal sloped anastomosis to prevent anastomotic stenosis. Methods 163 cases carcinoma of esophagus from January 2008 to December 2011 were randomly divided into 2 groups, the experimental group had 86 cases, used esophageal sloped end to end anastomosis, the control group had 77 cases, used the traditional methods cross-sectional end to end anastomosis, the patients were followed up for 6 months to 2 years, The 12 cases(7.5%) of appear anastomotic stenosis were summarized and analyzed. Results Two cases died perioperative(experimental group 1 case, the control group 1 case), the experimental group appeared anastomotic stenosis 3 cases(3.5%), and control group appear anastomotic stenosis 9 cases(11.8%). Differences between the two groups had statistical significant(P < 0.05). Conclusion Esophageal sloped anastomosis can reduce with esophageal anastomotic stenosis rate and improve the patients’ quality of life.更多还原