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作者自1979年首次报告硅酮假体治疗胃食管返流46例以后,又用该法治疗176例,共计220例,随访时间最长126个月。现已有许多单位对这种手术的结果并发症与传统的手术方法进行研究,以确定硅酮假体的效果和安全性。假体是用弹性的硅酮制成四周附有含钽的Dac-ron带子,内径2.5×3.1cm,外径6×7cm,重45g。1973年5月~1983年11月作者所在医院共治疗返流性食管炎220例,男性106例,女性114例,平均年龄54岁,年龄最大的83岁,最小的21岁。术前症状平均存在6年,药物治疗5年半,症状存在最长的达30年,最短者2个半月。其中53例由于食管
After the authors first reported silicone gastrectomy in 46 cases of gastroesophageal reflux in 1979, 176 cases were treated with this method, a total of 220 cases, with a maximum follow-up of 126 months. There are now many units on the results of this surgical complications and traditional surgical methods to study the effect and safety of silicone prosthesis. The prosthesis was made of flexible silicone with Dacron tape containing tantalum around, an inner diameter of 2.5 x 3.1 cm, an outer diameter of 6 x 7 cm and a weight of 45 g. From May 1973 to November 1983, the author’s hospital treated 220 cases of reflux esophagitis, 106 males and 114 females, with an average age of 54 years, the oldest being 83 years and the youngest being 21 years old. Preoperative symptoms exist for an average of 6 years, 5 and a half years of medical treatment, the longest symptoms of up to 30 years, the shortest of 2 and a half months. 53 cases due to esophageal