摘要
目的 探讨食管胃吻合口并发症减少的真正原因。方法 1984 年6 月至1997 年6 月共手术切除食管癌和贲门癌5 119 例,将前7 年(1984 年至1991 年) 和后6 年(1991 年至1997 年) 分为A、B二组进行对比研究。结果 吻合口瘘、吻合口狭窄和返流性食管炎的发生率,A组分别为4-2% 、4-86% 和15-5 % 。B组分别为1-01 % 、2-13% 和7-03% 。A 组吻合口瘘的死亡率为39-35 % ,B组无吻合口瘘死亡。二组并发症相比较有显著性差异( P< 0.01) 。A、B二组的吻合方法我重要改变,只是吻合部位从胸腔上移至颈部。结论 吻合口并发症下降的原因是吻合技术的提高,与吻合方法关系不大。颈部吻合的最大优点是降低了吻合口瘘的死亡率。
Objective To find out the real cause of the reduction of the complications of the anastomosis.Method 5 119 patients with esophageal and cardiac carcinomas were treated surgically between June 1984 and June 1997.The pationts were divided into two groups(group A:1984~1991,group B:1991~1997) according to the perlod of operation and compared with each other.Result The incidences of anastomotic leakage,anastomotic stricture and esophageal reflux were 4.2%,4.86,and 15.5% respectively in group A,and 1.01%,2.13% and 7.03% respectively in group B The mortality of anastomotic leakage was 39.25% in group A and 0 in group B.There was significant difference between group A and group B( P<0.01) .The anastomotic technique in the two groups was not changed but the regions of anastomosis were different(group A in the thorax and group B in the neck respectively).Conclusion It was the improvement of the anastomotic technique,not the method of anastomosis,that reduced complications of anastomosis.The best advantage of cervical anastomosis was the reduction of the mortality of anastomosis leakage. [
出处
《河南肿瘤学杂志》
1999年第6期454-455,共2页
Henan Journal of Oncology
关键词
食管肿瘤
吻合技术
吻合口瘘
颈吻合
治疗
esophageal carcinoma,anastomosis technique,anastomotic leakage,cervical anastomosis.