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| 胃浆肌瓣包套的食管胃吻合术 | |
| 引用本文： | 韩朝阳,刘飞龙,苏远红,夏穗生,别志强,熊添田,黄自章,李书广,丁孔明. 胃浆肌瓣包套的食管胃吻合术[J]. 临床外科杂志, 1999, 7(5): 266-268 |
| 作者姓名： | 韩朝阳 刘飞龙 苏远红 夏穗生 别志强 熊添田 黄自章 李书广 丁孔明 |
| 作者单位： | 1. 430030,武汉,同济医科大学附属同济医院普外科 2. 河南省焦作市人民医院肿瘤科 3. 湖北省新洲县人民医院外科 4. 湖北省汉川县人民医院外科 |
| 摘 要： | 目的 探讨预防食管，贲门癌手术后吻合口瘘和狭窄，返流性食管炎发生的方法。方法 对２７３例贲门癌，食管下段癌患者，随机分为治疗组１４５例，对照组１２８例，并分别采用胃浆肌瓣包套的食管胃吻合术及传统的食管胃二层同心圆吻合术。结果 治疗组无吻合口瘘及吻合口狭窄，返流性食管炎１０例。 |
| 关 键 词： | 食管胃吻合术 吻合口瘘 吻合口狭窄 返流性食管炎 |
| 修稿时间： | :1998-06-1 |
Esophagogastrostomy encircled by seromuscular gastric wall flap |
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| HAN Chaoyang,LIU Feilong,SU Yuanhong,et al.. Esophagogastrostomy encircled by seromuscular gastric wall flap[J]. Journal of Clinical Surgery, 1999, 7(5): 266-268 | |
| Authors: | HAN Chaoyang LIU Feilong SU Yuanhong et al. |
| Affiliation: | HAN Chaoyang,LIU Feilong,SU Yuanhong,et al.Department of Surgery,Tongji Hospital of Tongji Medical University,Wuhan 430030 |
| Abstract: | Objective To evaluate the effects of esophagogastroplasty of esophagogastrostomy in preventing anastomotic leakage,stricture and reflux esophagitis after resection of lower esophageal or cardiac carcinoma.Methods 273 cases of lower esophageal cardiac carcinoma were randomly divided into 2 groups:The treatment group(145 cases) was treated by esophagogastrostomy encircled by sero muscular gastric wall flap while the control group(128 cases) was performed with esophagogastrostomy only.Results No anastomotic leakage or stricture was observed in treatment group,with 10 cases of reflux esophgitis only.In control group,anastomotic leakage,stricture and reflux esophagitis were 9(7 0%),5(3 9%),and 21(17 1%) respectively.Conclusions The esophagogastroplasty of esophagogastrostomy can completely avoid anastomotic leakage,stricture and significantly reduce reflux esophagitis after resection of lower esophageal or cardiac carcinoma. |
| Keywords: | Esophagogastrostomy Anastomotic leakage Anastomotic stricture Reflux esophagitis |
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