食管贲门癌切除术后四种吻合方式与吻合口漏和狭窄关系的比较研究

目的：比较研究食管贲门癌切除术后4种常用吻合方式与吻合口漏和狭窄关系。方法：对317例分别应用传统的食管胃吻合术（73例）、隧道式食管胃吻合术（67例）、食管胃黏膜、肌层分层连续吻合术（61例），机械吻合术（116例）的4组病人进行统计比较吻合口漏发生率、狭窄发生率。结果：4组病例吻合口漏的发生率分别为4．1％、1．5％、1．6％、1．7％，吻合口狭窄发生率分别为5．5％、2．9％、1．6％、3．4％，均无统计学差异。结论：常用吻合方法都可满足）临床需要，均能将并发症控制在合理的水平。

The relationship between occurrence of leakage and stricture and four anastomoses methods after resection of esophageal and cardiac cancer

Objective:To study the relationship between occurrence of leakage and stricture and four anastomoses methods after resection of esophageal and cardiac cancer. Methods:Three hundred and seventeen patients were divided into four groups:traditional anastomosis group (73 cases), the tunnel type anastomosis group (67 cases), the gambee's anastomosis group (61 cases) , and stapling anastomosis group (116 cases). The occurrence of leakage and stricture between the four groups was compared by using SPSS software. Results:The occurrence of leakage and stricture in the traditional anastomosis group was 4.1% and 5.5%,1.5% and 2.9% in the tunnel type anastomosis group, 1.6% and 1.6% in the gambee's anastomosis group, and 1.7% and 3.4% in the stapling anastomosis group, respectively. The difference between the four groups was not significant. Conclusion:In esophageal reconstruction, all the four methods of anastomosis could satisfy the clinical requirements and control the occurrence of the complications at reasonable level.