内翻吻合瓣在食管胃吻合术后抗返流中的应用

Clinical use of inversive valve in anti-gastroesophageal reflux after esophagus-stomach anastomosis

为了探讨内翻吻合瓣在胃食管吻合术后的抗返流效果,采用内翻吻合瓣成形术消化道重建53例,并与采用食管胃套叠吻合51例对比研究。应用24 h食管pH监测及临床返流症状评定方法进行对比分析。24 h食管pH测定显示,实验组Demeester评分为3 .01±3 .31,对照组为101. 50±90. 47,两组比较差异有统计学意义,P<0 .001。返流临床症状评定结果实验组有6例出现返流症状,而对照组33例出现返流症状。

The objective was to explore the anti-reflux effect of esophagus-stomach inversive valve anastomosis. The inversive valve anastomosis of esophagus-stomach was performed in 53 patients with esophageal carcinoma and the “inkwell” anastommsis was performed in another 51 cases as control. Twenty-four hours esophageal pH monitoring and clinical reflux symptom scores were studied in the two groups from 15 days to 6 months after operation. The 24 h esophageal pH records showed that Demeester score was 3.01±3.31 in the experimental group,101.50±90.47 in the control group, respectively. There was a significant difference between the two groups (P<0.001). The clinical reflux symptom scores showed that the GER existed in only 6 cases of the experimental group, but in 32 cases of the control group.