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我科自1995年11月~1997年5月对87例食管、贲门癌患者随机分为:实验组44例行“三斜术式”(斜形切除、钭形吻合、斜形包埋)治疗;对照组43例采用常规手术切除,端侧吻合术式治疗。两组均未发生吻合口痿。“三斜术式”组吻合口狭窄及返流性食管炎发生率分别为0和4.5%;常规切除,端侧吻合术组发生半分别为6.9%和18.6%;经统计学处理,P<0.05。有显著差别。“三斜术式”不仅具有明显的抗返流、预防吻合口狭窄的作用,且简便易行,具有临床实用价值。
In our department from November 1995 to May 1997, 87 cases of esophageal and cardiac cancer patients were randomly divided into: experimental group of 44 cases of “three oblique operation” (oblique resection, hernia-shaped anastomosis, oblique embedding) treatment 43 patients in the control group underwent conventional surgical resection and end-to-side anastomosis. There was no anastomotic leakage in both groups. The incidence of anastomotic stenosis and reflux esophagitis in the “triple sinus surgery” group was 0 and 4.5%, respectively, and that of the conventional excision and the end-to-side anastomosis group was 6.9% and 18.6%, respectively; after statistical processing, P< 0.05. There are significant differences. “Three-inclined type” not only has obvious anti-reflux, prevention of anastomotic stenosis, and is simple and practical, and has clinical value.