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目的:评价使用吻合器为行贲门癌手术的患者施行胸内吻合操作的效果。方法 :对2002年2月~2012年8月在我院胸外科进行贲门癌手术的1208例患者的临床资料进行回顾性分析,将其分为吻合器吻合组和人工吻合组,为968例吻合器吻合组患者使用吻合器进行胸内吻合,为240例人工吻合组患者在术中进行人工吻合,并对比观察两组患者的手术时间、发生吻合口出血、吻合口狭窄、吻合口瘘、胃食管反流等手术并发症的情况。结果 :与人工吻合组患者相比,吻合器吻合组患者并发症的发生率较低,差异显著,有统计学意义(χ2=48.750,P=0.000)。与人工吻合组患者相比,吻合器吻合组患者的手术时间较短,差异显著,有统计学意义(t=3.87,P<0.05)。结论 :使用吻合器为行贲门癌手术的患者施行胸内吻合操作的效果确切,安全性高,可显著降低患者并发症的发生率,减轻其承受的痛苦,此法值得在临床上推广应用。
OBJECTIVE: To evaluate the effect of anastomosis thoracic surgery in patients undergoing cardiac surgery using a stapler. Methods: The clinical data of 1208 patients undergoing cardia cancer surgery in our department from February 2002 to August 2012 were retrospectively analyzed. They were divided into stapling anastomosis group and artificial anastomosis group, which were 968 cases Anastomosis devices were used to anastomose thoracic anastomosis patients. 240 artificial anastomosis patients were performed intraoperative artificial anastomosis. The operative time, anastomotic bleeding, anastomotic stenosis, anastomotic fistula, stomach Esophageal reflux and other surgical complications. Results: Compared with artificial anastomosis group, the incidence of complications was lower in stapler anastomosis group, with significant difference (χ2 = 48.750, P = 0.000). Compared with artificial anastomosis group, the operation time of stapler anastomosis group was shorter and the difference was statistically significant (t = 3.87, P <0.05). Conclusion: The use of stapler for the operation of cardia cancer in patients with intrathoracic anastomosis of the exact effect of high safety, can significantly reduce the incidence of complications and reduce their suffering, this method deserves to be clinically promoted.