预防食管癌术后吻合口瘘的技术研究

Technological research on preventing the anastomotic leakage after the esophageal carcinoma operation

目的：探讨食管癌责门癌术后吻合口簿的预防措施。方法：手术组：应用胃食管吻合口径一致、食管粘膜延长、深浅间隔进外吻合并附加大网膜包绕吻合口术，连续施行食管癌贲门癌切除食管胃吻合术506例；对照组，199o年以前20年用常规吻合方法所做的食管疾青门癌切除食管胃吻合本620o结果：手术组无五例吻合口疾的发生；对照组五例发生了吻合口康，发生率为5％，两组相比有显著性差异（P＜0．0且）。结论：上述方法对预防吻合口疾有重要的作用。

To detect the preventive measure of the anastomotic leakage after the csophageal carcino-ma operation. Methods: The author made some improvements on the anastomosis technology for the treatmentgroup. It is concluded that calibers of stomach and esophagus were unanimous, deep and shallow sutures were tak-en turn, the esophageal mucosa was prolonged and the anastomosis was encircled by the greater omentum. 506 pa-tients of the esophageal and cardic carcinoma were performed consecutively by the aforementioned measure.62O pa-tients of the esophageal and cardie carinoma in the control group were performed by the routine anastomosis 20 yearsago from 199O. Results:There was no anastomotic leakage patient in the treatment group, the morbidity was O.There were 31 patients with anastomotic leakage in the control group,the morbidity was 5.0%. There was sig-nifecance difference between the control group and the treatment group (P<0.01). Conclusion: The aforemen-tioned measure of anastomosis had important effeet on preventing the anastomotic leakage.