胸腔胃全层内凸缝合术预防食管癌术后反流性食管炎的效果观察

目的 探讨食管癌术后反流性食管炎的防治方法.方法 将136例食管癌患者随机分为对照组和治疗组,各68例.对照组行单纯机械吻合术,治疗组行机械吻合后加胸腔胃全层内凸缝合术.术后比较两组患者的食管反流液pH值、食管镜检和自觉症状等.结果 治疗组患者食管腔内反流液pH值明显高于对照组(x2=14.82,P＜0.01)；食管镜检显示治疗组反流性食管炎发生率29％,对照组为51％,两组比较有统计学意义(x2=6.99,P＜0.01).结论 胸腔胃全层内凸缝合术能有效防止食管癌术后反流性食管炎的发生.

THE CURATIVE EFFECT OF THORACIC GASTRIC FULL-THICKNESS CONVEX SUTURE ON REFLUX ESOPHAGITIS AFTER ESOPHAGEAL CARCINOMA OPERATION

Objective To investigate the therapies to prevent and treat reflux esophagitis after esophageal carcinoma operation.Methods136 cases of esophageal carcinoma were randomly divided into the control group(68 cases) treated with stapled anastomosis and the treatment group(68 cases) treated with thoracic gastric full-thickness convex suture in addition to stapled anastomosis after esophageal carcinoma operation.The comparison between the two groups was made by observing the pH value of esophageal reflux juice,the esophageal mucosa and subjective symptoms.ResultsThe pH value of reflux juice in the treatment group was higher than that in the control group(χ~2=14.82,P<0.01).The incidence of reflux esophagitis was 29% in the treatment groups,while 51% in the control group(χ~2=6.99,P<0.01).ConclusionThoracic gastric full-thickness convex suture can effectively prevent and treat reflux esophagitis after esophageal carcinoma operation.