贲门癌综合抗反流术式胃肠功能测定的对比研究

The New Methods Used in Cardiac Operation Against Gastroesophageal Reflux.

目的评价综合抗反流术式在贲门外科临床应用的效果。方法将33例贲门癌患者食管胃吻合术中采用综合抗反流术者作为A组,另选取临床资料相仿,但未行综合抗反流术的8例贲门癌手术患者作为B组对照,通过手术前后食管胃腔内测压以及24 h pH值测定评价抗反流效果。结果A组术后食管体部出现新的高压区,其pH<4的总时间(%)、pH<4的反流次数、>5 min的反流次数各项指标均较B组明显减少(P<0.01)。结论综合抗反流术式方法简便,临床抗反流效果好,值得在贲门外科中推广应用。

Objective To appraise the effect of synthesis anti - reflux technique on cardiac surgery, Methods We randomly divided 33 patients suffering from cardiac cancer into group A, patients in group A received anti - reflux surgeries. Taking another 8 cases with cardiac cancer into group B, patients in group B received routine cardiac surgeries. The effect of anti - reflux was appraised by detecting the pressure of esophagus and gastral cavity and 24h pH monitoring of esophageal, Results In group A, a new area with high pressure occurred in the middle of esophagus, The following indexes of reflux were significantly lower than those in group B （ P 〈 0.05 ） ： the total fraction time and number of reflux episodes of pH 〈 4; the number of reflux episodes〉5 minutes;the longest time of reflux episodes, Conclusions The synthesis antireflux technique is simple and has satisfying clinical effect, so it is worthy of being applied in cardiac operation.