贲门癌切除贲门再造术的临床研究

Study of Cardia Rebuilding in Cardia Cancer Excision

目的 为减少贲门癌术后吻合口瘘及狭窄与返流性食管炎 ,观察贲门癌切除贲门再造术疗效。方法 将贲门癌切除贲门再造术 4 2例与同期贲门癌切除胃食管套入式吻合术 4 2例进行对比研究 ,术后 6～1 2mo ,行食管镜检查测定吻合口大小、组织活检和测定食管腔内返流液 pH值。 结果 两组患者术后均无吻合口瘘发生 ,无手术死亡。结论 该术式减少吻合口瘘及狭窄 。

Objective Anastomotic leakage、 anastomotic stricture,peptic esophagit is after cardia cancer excision were main complications to effect the livelihood qualities of patients, so we designed the cardia rebuilding in cardia cancer excision.Methods Cardia rebuilding in cardia cancer excision were underwent in 42 patients, while esophagogastro-anastomosis were underwent in 42 patients at the same time for comparable study. Esophagoscopy were underwent 6～12 monthes after operation to measure the size of anastomosis, pathology of tissue and PH scale in esophagas.Results There was no anastomotic leakage or anastomotic stricture and the mortality was zero.Conclusion The operation type can reduce anastomotic leakage or anastomotic stricture and prevent peptic esophagitis.