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目的 :观察幽门成形术对贲门癌术后反流性食管炎的预防作用。方法 :随访了267例贲门癌 ,其中行幽门成形术者87例 ,未行幽门成形术者180例 ,并比较两组术后反流性食管炎的发生率。结果 :未行幽门成形术组术后出现反流性食管炎76例(40 64 % ) ,其中13例症状严重 ,分别于术后6月～12月后再次行幽门成形术 ,两组比较差异有显著性 (P<0 01)。结论 :在施行贲门癌根治术的同时 ,附加幽门成形术 ,能明显降低残胃腔内的压力 ,促进残胃排空 ,从而有效地防止胃内容物的返流 ,能明显降低反流性食管炎的发生率。
Objective: To observe the preventive effect of pylorus plasty on reflux esophagitis after cardiac cancer surgery. METHODS: A total of 267 cardiac cancers were followed-up, of which 87 patients underwent pylorus plasty and 180 underwent pylorus plasty. The incidence of reflux esophagitis was compared between the two groups. RESULTS: 76 cases (46.44%) of reflux esophagitis did not occur in the pylorus plasty group. Among them, 13 cases had severe symptoms. They were performed pylorus plasty 6 months to 12 months after operation. The difference between the two groups was significant. Significant (P<0 01). CONCLUSIONS: In addition to radical gastrectomy, additional pyloric angioplasty can significantly reduce the pressure in the residual gastric cavity and promote emptying of the residual stomach, thereby effectively preventing the reflux of gastric contents and significantly reducing the reflux esophagus. The incidence of inflammation.