管状胃对食管癌术后胃动力及胃排空功能的影响

The Effect of Tubular Stomach on Dynamics Parameters and Gastric Emptying Function after Esophageal Carcinoma Operation

目的探讨管状胃对食管癌术后胃动力及胃排空功能的影响.方法太和县人民医院80例食管癌手术患者,根据随机数字法,将其分为40例对照组(全胃食管吻合术)和40例观察组(管状胃食管吻合术),比较2组胃动力参数及胃排空功能变化情况,以及术后并发症.结果与术前相比,术后2组胸胃静息压、蠕动收缩压及蠕动频率均明显降低,P<0.05;与对照组相比,观察组术后胸胃静息压、蠕动收缩压均明显增高,P<0.05;与对照组相比,观察组术后30 min、60 min、90 min胸胃排空率均明显增高,P<0.05;与对照组相比,观察组反流性食管炎、胸胃综合征发生率均显著降低,P<0.05.结论管状胃食管吻合术能够促进胃动力及胃排空功能的恢复,降低术后并发症的发生率,值得临床推广.

Objective To study the effect of tubular stomach on dynamics parameter and gastric emptying function after esophageal carcinoma operation.Methods The enrolled 80 patients with esophageal carcinoma operation in our hospital were randomized into the control group（ whole stomach esophagus anastomosis） and the observation group（ tubular stomach esophagus anastomosis）. The changes of stomach dynamics parameters and gastric emptying function on pre- and post- operation, and the postoperative complications in two groups were compared. Results Compared with the pre- operation, the thoracic stomach resting pressure, peristalsis systolic pressure and peristaltic frequency were significantly decreased on the post- operation in two groups（ P〈0.05）.Compared with the control group, the thoracic stomach resting pressure, peristalsis systolic pressure on post- operative in the observation group were obviously increased in the observation group（ P〈0.05）. Compared with the control group, the thoracic stomach emptying rate on 30 min, 60 min, 90 min after operation were significantly increased in the observation group（ P〈0.05）. Compared with the control group, the incidence of reflux esophagitis and chest syndrome was significantly reduced in the observation group（ P〈0.05）. Conclusion The tubular stomach esophagus anastomosis can promote the recovery of stomach dynamics and gastric emptying function, reduce the incidence of postoperative complications, and is worthy of clinical promotion.