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目的探讨食管胃胸腔内侧侧吻合预防食管癌术后吻合口狭窄和反流的效果。方法109例食管中段癌患者随机分为两组,A组60例采用食管胃胸腔内侧侧吻合,B组49例采用食管胃胸腔内端侧吻合。结果 A组术后未发生吻合口狭窄(0/60),反流发生率为11.67%(7/60);B组术后吻合口狭窄发生率为20.41%(10/49),反流发生率为42.86%(21/49)。A组术后吻合口狭窄发生率和反流发生率均小于B组(P<0.01)。结论食管胃胸腔内侧侧吻合可有效减少食管癌术后吻合口狭窄和反流。
Objective To investigate the effect of esophageal and stomach pleural anastomosis to prevent anastomotic stenosis and reflux after esophageal cancer operation. Methods 109 cases of middle esophageal cancer were randomly divided into two groups. 60 cases in group A received esophageal and stomach thoracic anastomosis, and 49 cases in group B received esophageal and thoracic end-to-end anastomosis. Results No anastomotic stenosis (0/60) and reflux (11.67%) occurred in group A, the incidence of anastomotic stenosis in group B was 20.41% (10/49), and reflux occurred The rate was 42.86% (21/49). The incidence of postoperative anastomotic stenosis and incidence of reflux in group A were less than those in group B (P <0.01). Conclusion Esophagogastric pleural anastomosis can effectively reduce the anastomotic stenosis and reflux after esophageal cancer operation.