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目的 探讨采用不同种类、不同型号吻合管对食管胃吻合术后并发症发生率的影响。方法 应用GF Ⅰ型和WGW Ⅰ型弯管型两种消化道吻合器 ,对 5 39例食管癌和贲门癌患者施行食管胃吻合术。结果 全组患者均无吻合失败。术后吻合口瘘发生率 1 3% ( 7/5 39) ,吻合口狭窄率 1 8% ( 10 /5 39) ,死亡率 0 6 %( 3/5 39)。结论 采用 31号GF Ⅰ型吻合器进行弓下吻合 ,2 6号WGW Ⅰ型吻合器进行胸顶以上吻合 ,可减少跨弓吻合 ,对降低术后并发症发生率有一定帮助。
Objective To investigate the effect of using different types and types of anastomosis tubes on the incidence of complications after esophageal anastomosis. Methods Esophagogastric anastomosis was performed on 5 39 esophageal and gastric cardia cancer patients with two kinds of digestive tract staplers GF Ⅰ and WGW Ⅰ. Results All patients had no anastomosis. The incidence of anastomotic fistula was 13% (7/5 39), anastomotic stenosis rate was 18% (10/39) and the mortality rate was 0.6% (3/5 39). Conclusions The application of No. 31 GF Ⅰ stapler to perform anastomosis of the arch and WGW Ⅰ anastomosis of No.26 anastomosis above the top of the chest can reduce the cross - arch anastomosis and reduce the incidence of postoperative complications.