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目的探讨胸内食管胃器械吻合术后吻合口出血的术中防治方法,为临床应用提供依据。方法选择2006年1月-2011年12月医院收治的576例胃癌患者,食管中段癌321例,胸下段食管癌225例,经过钡餐造影、纤维胃镜病理组织确诊。患者随机分为对照组和观察组,均采取吻合器胸内食管胃吻合术进行治疗,观察组术中采用泰陵包裹吻合口。观察两组术后吻合口出血等并发症情况,以评估泰陵对吻合口出血的防治作用。结果对照组发生术后出血共10例,发病率为3.47%,观察组发生术后出血共3例,发病率为1.04%,两组间差异具有统计学意义(P<0.05)。结论泰绫可以有效防止吻合口出血,且能够促进创面愈合,进一步降低术后出血的发病率,值得临床推广使用。
Objective To explore the intraoperative prevention and treatment of anastomotic bleeding after intrathoracic esophageal and gastric appliance anastomosis and provide the basis for clinical application. Methods From January 2006 to December 2011, 576 cases of gastric cancer admitted to the hospital, 321 cases of middle esophageal cancer and 225 cases of esophageal cancer of lower thoracic segment were confirmed by pathological examination of barium meal and fiber endoscopy. Patients were randomly divided into control group and observation group. All patients underwent esophagogastrostomy with stapler. The observation group received Tailing anastomosis. Observe the complication of bleeding after anastomosis in two groups to evaluate the prevention and treatment of anastomotic bleeding in Tailing. Results There were 10 cases of postoperative bleeding in the control group, the incidence was 3.47%. There were 3 cases of postoperative bleeding in the observation group with the incidence of 1.04%. The difference between the two groups was statistically significant (P <0.05). Conclusion Tai-ling can effectively prevent anastomotic bleeding, and can promote wound healing, to further reduce the incidence of postoperative bleeding, it is worth promoting the use of the clinic.