胃底成形术预防食管癌及贲门癌根治术后嗳气的疗效观察

Comparison Research on Fundoplication for Preventing Postoperation Belching of Esophageal Cancer and Cardia Cancer

目的:观察胃底成形术对预防食管癌及贲门癌根治术后嗳气的临床效果,探讨其临床价值。方法:选择我院食管癌及贲门癌手术患者141例,其中68例患者行胃底成形术,视为研究组(n=68),其余73例未行胃底成形术,视为对照组(n=73);所有患者均随访>3个月,对比分析两组患者的嗳气预防效果。结果:研究组随访3个月,术后嗳气6例,术后嗳气率为8.8%,对照组随访3个月,术后嗳气62例,术后嗳气率为84.9%;两组的术后嗳气率差异显著(P<0.05)。结论:胃底成形术对预防食管癌及贲门癌根治术后嗳气的临床效果显著,而且手术操作简单,值得临床推广。

Objective：To observe the clinical effect of fundoplication for preventing postoperation belc-hing of esophageal cancer and cardia cancer .Methods：141 cases of patients with esophageal and cardiac cancer operation were selected , among them 68 patients underwent fundoplication , they were regarded as study group （ n=68 ） , the other 73 cases without fundoplication , regarded as the control group （ n=73 ）;all patients were followed up for more than 3 months, analysis of 2 groups patients with well gas prevention effect were compared.Results：The study group were followed up for 3 months,there were 6 cases of belching after operation, postoperative belching rate was 8.8%, the control group after 3 months of follow-up, there were 62 cases of belching after operation, postoperative belching rate was 84.9%;2 groups of postoperative belc-hing rate were significant difference （P〈0.05）.Conclusion：Fundoplication clinical effects on prevention of radical resection of esophageal cancer and cardia cancer after belch is significant , and the operation is sim-ple, it is recommended for clinical.