论文部分内容阅读
目的：本文介绍一种食管胃吻合的新方法———袖套式食管胃吻合—重建贲门术。方法：该术式在胃端制作带蒂浆肌瓣，呈袖套状包裹吻合口，可防止发生吻合口瘘，利用胃端粘膜层向吻合口内折叠，形成粘膜瓣，可阻止胃液返流。结果：自１９９２年６月～１９９５年１０月，临床已完成１６３例，其中食管癌８４例，贲门癌７９例，术后发生吻合口瘘４例，发生率为２５％。无吻合口狭窄和返流性食管炎发生。结论：该术式设计新颖、先进，使贲门及其功能得以重建。
Objective: This article describes a new method of esophageal and gastric anastomosis - cuff esophagogastrostomy - reconstruction cardia surgery. Methods: The operation of the production of pedicled pulp muscle flap at the stomach end, a sleeve-like anastomosis wrapped to prevent anastomotic fistula occurred, the use of gastric mucosal layer to the anastomosis fold, the formation of mucosal flap, gastric reflux can be prevented. Results: From June 1992 to October 1995, 163 cases were completed clinically, including 84 cases of esophageal cancer and 79 cases of cardiac cancer. There were 4 cases of anastomotic fistula occurred after operation, the incidence rate was 2.5%. No anastomotic stenosis and reflux esophagitis occurred. Conclusion: The surgical design of novel, advanced, so that cardia and its function can be rebuilt.