机械吻合与手工吻合在中上段食管癌治疗中的应用研究

Clinical Application of Mechanical Anastomosis and Hand Anastomosis in the Treatment of Upper and Middle Esophageal Cancer

目的比较机械吻合与手工吻合在中上段食管癌治疗中的应用效果。方法将我院2009年1-9月收治的67例中上段食管癌患者随机分为两组,对照组(33例)术中采用手工吻合,观察组(34例)术中采用机械吻合,比较分析两种吻合方法的应用效果。结果观察组的吻合时间为(14.5±5.0)min,明显短于对照组的(27.0±4.5)min,差异有统计学意义(P<0.05);观察组的并发症发生率为2.9%,明显低于对照组的24.2%,差异有统计学意义(P<0.05)。结论机械吻合在中上段食管癌治疗中的应用更佳,能够缩短手术时间,减少并发症,值得临床关注。

Objective To compare the application effect of mechanical anastomosis and hand anastomosis in the treatment of upper and middle esophageal cancer.Methods From January 2009 to November 2010 in our hospital,67 cases of upper and middle esophageal cancer were randomly divided into two groups,33 patients of control group treated with hand anastomosis,34 patients of observation group treated with mechanical anastomosis,the application effect of two groups were compared.Results The anastomosis time of the observation group was（14.5±5.0）min,significantly shorter than（27.0±4.5）min of the control group,there was significant difference between two groups（P〈0.05）;the complication rate of observation group was 2.9%,significantly lower than 24.2% of the control group,there was significant difference between two groups（P〈0.05）.Conclusion Mechanical anastomosis and hand anastomosis in the treatment of upper and middle esophageal cancer has better clinical results,able to shorten the operation time and reduce complications,it is worthy of concern.