生物可降解吻合环在消化道重建吻合术中的应用

目的总结可降解吻合环（BAR）在各种类型胃肠道吻合术中的应用。方法回顾性分析2002年2月—2005年8月64例胃肠道吻合术中应用吻合环病人的临床资料。结果本组术中吻合过程顺利,无手术死亡,术后吻合口漏1例（1.6%）,给予再次手术治疗,恢复良好;早期小肠不全性梗阻2例（3.1%）,无需手术干预;平均通气时间为3.2 d,平均进流质饮食时间为3.3 d。结论在多样的消化道重建术中,无论急诊手术还是择期手术,吻合环都具有安全、高效、可靠等优点。大大提高了操作效率,缩短了手术时间,有利于防止吻合口漏或狭窄等并发症。

Application of Biofragmentable Anastomosis Ring in Alimentary Tract Reconstruction

Objective To summarize the experience in the use of the biofragmentable anastomosis ring （BAR） in intestinal anastomoses. Methods The clinical data of 64 patients, who underwent intestinal anastomoses performed with BAR between 1992 and 1999, were analyzed retrospectively. Results No death or anastomotic stenosis occurred. A clinical anastomotic leak developed in the first two weeks after surgery in one patient （ 1.6% ） . who required reoperation and then recovered well. Early incomplete smallbowel obstruction developed in two patients （3.1% ） , neither of whom required reoperation. The average time to pass the first flatus was 3.2 days, and the average time to begin oral fluid intake was 3.3 days. Conclusion Our data indicate that the use of BAR is safe and effective in both elective and emergent surgical operation. The rate of leakage is comparable to that of literature when BAR is used. The use of BAR in digestive tract reconstruction could raise efficiency, shorten operative time, and prevent the complication of anastomotic leak or stricture.