论文部分内容阅读
目的:观察食管癌术中利用吻合口附近部分胃壁制作“吻合口瓣”的抗反流作用。方法:将60例食管癌手术患者随机分为观察组和对照组(各30例)。观察组在完成食管-胃吻合后,利用吻合口附近部分凸起胃壁,制作成“吻合口瓣”;对照组行常规手术。观察两组患者在住院期间、进食后的胃食管反流情况,并进行比较。结果:观察组患者反流发生率为23.33%,低于对照组的53.33%,差异有统计学意义(P<0.01)。结论:食管癌患者术中制作“吻合口瓣”能够有效降低胃食管反流发生率,改善患者术后生活质量,其手术方法安全、简单、易行。
Objective: To observe the anti-reflux effect of esophagectomy using “stomach anastomotic flap” in part of the stomach wall near the anastomosis. Methods: Sixty esophageal cancer patients were randomly divided into observation group and control group (30 cases each). After the completion of esophageal-gastric anastomosis, the observation group made the “anastomotic flap” by using the protruding stomach wall near the anastomosis, and the control group underwent routine surgery. During the hospitalization, the gastroesophageal reflux after feeding was observed and compared between the two groups. Results: The incidence of reflux in observation group was 23.33%, which was lower than that in control group (53.33%), the difference was statistically significant (P <0.01). Conclusion: Making “anastomotic flap” during operation in patients with esophageal cancer can effectively reduce the incidence of gastroesophageal reflux and improve the postoperative quality of life. The surgical method is safe, simple and easy to operate.