食管粘膜胃粘膜包埋式吻合法临床研究(附241例报告)

目的：探讨食管粘膜胃粘膜包埋式吻合法预防吻合口瘘，狭窄和抗返流效果。方法：采用食管粘膜，胃粘膜包埋式缝合法，治疗食管贲门癌２４１例；其中食管癌１４３例，贲门癌９８例（其中残胃贲门癌１例）。结果：术后两周Ｘ线钡剂透视照片，钡剂通过顺畅，无返流，吻合口直径１．５￣２ｃｍ。术后随访一年至一年半，无胸骨后烧灼痛，吞咽顺利，未见吻合口狭窄。结论：本法术野显露良好，缝合准确，吻合口径增宽，对预防吻合口瘘及狭窄

A clinical research of esophagogastric anastomosis of mucosa embedding style (with 241 cases reported)

Purpose:To research the efficacy of a new esophagogastric anastomosis method of mucosa embedding style for preventing Postoperative anastomotic leakage, stenosis and regurgitaion. Mehtod: Between March 1996 to March 1998, 143 cases of esophageal carcinoma and 98 cages of cardial carcinoma (including one case of carcinoma in cardia and residual stomach), totally 241 cases, received this new anastomotic technique. Results: A barium esophagogram for each patient was performed within 2 weeks after operation, showing the barium passed through the anastomosis smoothly without regurgitation. Diameter of anastomosis ranged from 1. 5~2.0 cm. With the patients followed up for 1 ~ 1. 5 year, all of them were free of severe retrostenal burning pain, dysphagia and anastomotic stenosis. Conclusion: Due to satisfactory exposure,precise suture and good conjunction, wider diameter of the anastomosis, this anastomotic method may play a significant role for preventing postoperative anastomotic leakage, stenosis and regurgitation.