不均等黏贴包盖吻合口法食管癌抗反流手术256例

The Anti-reflux Effect of Unequal Adhesive Package Covered Esophageal Anastomosis on Esophageal Cancer Patients Treated with Surgery

目的:解决中下段食管癌手术的反流问题,分析不均等黏贴包盖吻合口法重建小胃底的抗反流效果。方法:随机选择不均等黏贴包盖吻合口法抗反流组(A组)256例,与同期未行抗反流包埋的对照组(B组)240例做术后随访对比,分析两组吻合口反流情况。结果:不均等黏贴包盖吻合口法包埋吻合口,重建小胃底,行胸内食管胃吻合在防止吻合口反流方面效果明显,优于单纯吻合者,经Ridit分析有显著性差异(P<0.01)。结论:不均等黏贴包盖吻合口法包埋吻合口,重建小胃底,行胸内食管胃吻合在防止食管胃吻合口反流方面效果良好。

Objective： To solve the anti-reflux problem of lower esophageal surgery for esophageal cancer and to analyze the effect of unequal adhesive stoma bag cover by reconstruction. Methods： The 256 cases of esophageal cancer in the experimantal group （A group） were treated with self-adhesive bag cover unequal anti-reflux anastomosis. The 240 cases of esophageal cancer in the control group （B group） did not receive anti-reflux embeding management. The antireflux effect was compared between the two groups. Results： Unequal adhesive cover package embedding anastomosis rebuilt the small stomach fundus. Esophagogastrostomy with intrathoracic anastomosis prevented reflux better than than a simple match anastomosis. Ridit analysis showed that the anti-reflux effect was significantly different between the two groups （P〈 0.01）. Conclusions： Self-adhesive bag cover unequal embedding anastomosis can rebuild a small gastric fundus. Intrathoracic esophagogastric anastomosis is effective for preventing gastroesophageal reflux after surgery for esophageal cancer.