食管癌和贲门癌切除食管胃肠线吻合的临床观察

目的 通过食管胃肠线吻合术后内镜观察，证明肠线是食管胃内层缝合的理想材料。方法 随机采用“０００”羊肠线（Ａ组）和丝线（Ｂ组）施行食管癌和贲门癌切除食管胃吻合各２００例。结果 两组术后并发症发生率和手术死亡率无差异。Ａ组进普食顺利者较Ｂ组明显增多，而食管胃吻合口瘘的发生率却比Ｂ组低。术后食管造影示：逆蠕动、吻合口残留钡剂，残良管扩张和吻合口狭窄的发生率Ａ组较Ｂ组明显降低，而且肠线缝合Ⅰ组愈合率较丝

THE CLINICAL OBSERVATION OF USING CATGUT SUTURE TO MAKE ANASTOMOSIS AFTER RESECTION OF ESOPHAGEAL CARCINOMA AND GASTRIC CARDIA CANCER

PURPOSE To analyse the advantages of using catgut suture in esophageal careinoma and gastric cardia cancer. METHODS From Dec. 1, 1993 to Dec. 1995 the authors adopted two sorts of sutures to do anastomosis after resection in esophageal and gastric cardia cnacer. There were 200 cases randomized to the "000" catgut suture (group A) and 200 to the silk suture (group B). RESULTS Statistics showed that there were no complication and overall mortality rates between the two groups (P>0. 05). More patients in Group A could swallow normal diet than group B (P<0. 01). Thus leakage was lower than group B. The esophagography showed that reversed peristalsis of esophagus, remaining barium, enlargement of the remaining esophagus and anastomotic constriction was distinctly decreased in group A(P<0. 05-0. 01). The primary healing rate in group A was higher than group B. This shows that the retaining of the silk suture could stimulate fibrous tissue hyperplasia. delay the healing and it may be the main cause of the constriction. CONCLUSION The results proposed that the "000" catgut suture can be absorbed easily, is less expensive, had less stimulation to the tissue and increase healing rate . and decrease the occurrence of constriction and leakage thus it is an ideal suture for esophagogastrotomy.