器械吻合与手工吻合在食管癌手术中的对比

Instrumental Anastomosis and Manual Anastomosis in Esophageal Cancer Surgery

目的探讨器械吻合与手工吻合在食管癌手术中的临床效果。方法选取2014年3月—2017年9月我院收治的食管癌患者202例,随机分为两组,对照组运用传统手工吻合进行治疗,研究组运用先进的器械吻合进行治疗,比较两组术后吻合时间、平均手术时间、平均住院时间以及术后开始进食时间,还有术后并发症的发生率。结果研究组的吻合时间、平均手术时间、平均住院时间、术后开始进食时间都好于对照组,差异有统计学意义(P<0.05)。研究组吻合口瘘、吻合口出血、胃食管反流、呕吐等并发症发生率都低于对照组,差异有统计学意义(P<0.05)。结论器械吻合可以有效缩短患者住院时间,加快患者身体康复,以及降低术后并发症的发生率。

Objective To investigate the clinical effects of instrumental anastomosis and manual anastomosis in esophageal cancer surgery. Methods A total of 202 patients with esophageal cancer admitted to our hospital from March 2014 to September 2017 were randomly divided into two groups. The control group was treated with traditional manual anastomosis. The study group was treated with advanced instruments and postoperative anastomosis time, average operative time, average length of stay, and postoperative time to start eating, as well as the incidence of postoperative complications the two groups were compared. Results The study group＇s anastomosis time, average operation time, average length of stay, and postoperative start time were all better than those in the control group. The difference was statistically significant（P〈 0.05）. The incidence of complications such as anastomotic leakage, anastomotic bleeding,gastroesophageal reflux, and vomiting were lower in the study group than in the control group（P〈 0.05）. Conclusion Instrumental anastomosis can effectively shorten the length of hospital stay, accelerate the physical rehabilitation of patients, and reduce the incidence of postoperative complications.