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为了探讨三角吻合术在食管胃颈部消化道重建中的安全性和可行性临床疗效。选择我院2010年1月至2014年11月需要行微创食管切除、食管胃颈部吻合术手术的患者100例,按照随机数字表法分为观察组和对照组各50例,考察两组患者围手术期情况、术后并发症、术后随访情况和SF-36量表生活质量情况。结果显示,围手术期中观察组出血量显著少于对照组,手术时间显著长于对照组,其他项目所用时长观察组均显著短于对照组;观察组出现吻合口瘘、吻合口狭窄、腹腔感染、肠梗阻、术后并发症的患者数量均低于对照组;观察组出现身体不适的患者数量少于对照组;观察组各维度除情绪角色和心理健康两维度以外,其他维度得分均显著高于对照组。研究表明,三角吻合术在微创食管切除、食管胃颈部吻合术围手术期情况优于传统吻合术,且术后并发症减少,术后患者随访情况和生活质量均好于传统吻合术。
In order to investigate the safety and feasibility of triangular anastomosis in esophagogastric gastrointestinal tract reconstruction. Select our hospital from January 2010 to November 2014 need to undergo minimally invasive esophagectomy, esophageal and gastric anastomosis surgery in 100 patients, according to random number table divided into observation group and control group of 50 cases, two groups were investigated Perioperative patients, postoperative complications, postoperative follow-up and quality of life of the SF-36 scale. The results showed that perioperative bleeding in the observation group was significantly less than the control group, the operation time was significantly longer than the control group, other items used in the observation group were significantly shorter than the control group; observation group appeared anastomotic leakage, anastomotic stenosis, abdominal infection, The number of patients with intestinal obstruction and postoperative complications was lower than that of the control group; the number of patients with physical discomfort in the observation group was less than that of the control group; the other dimensions of the observation group were significantly higher than those of the two dimensions of emotional role and mental health Control group. Research shows that the triangular anastomosis in the minimally invasive esophagectomy, esophageal and gastric anastomosis during perioperative conditions than traditional anastomosis, and postoperative complications decreased postoperative follow-up and quality of life were better than the traditional anastomosis.