摘要
目的 :介绍游离膈肌瓣包套胸内吻合口的手术方法及其预防吻合口瘘的价值。方法 :食管—胃吻合完毕 ,沿膈肌的切缘取大小适宜膈肌瓣 ,围巾式包套于吻合口外 ,缝合、固定。结果 :全组10 3例采用此方法吻合的患者无吻合口瘘的发生 ,同期采用传统手术方法吻合口瘘的发生率为 2 .4%。结论 :游离膈肌瓣包套胸内吻合口的方法可有效防止吻合口瘘的发生 ,取材方便 ,操作简单。
Objective:To intruduce and evaluate the method of wrapping esophageal stomach anastomosis with free diaphragma flap on prevention of anastomotic fistula.Methods:After anastomosis,remove a diaphrugma flap in proper size along the edge of the diaphragma,wapping onto the anastomosis line like a scarf,suturation and fixation with esophageal and stomach.Results:103 cases adopted this method and without anastomosis fistula,which occurs at 2.4 % in cases done at the same period with the conventional techinque.Conclusion:Wrapping esophageal stomach thoracic anastomosis line with free ddaphragma flap could prevent the anastomotic fistula effectively.
出处
《肿瘤研究与临床》
CAS
2002年第3期179-180,共2页
Cancer Research and Clinic
基金
山西省卫生厅资助课题 (9946号 )
