| 食管癌切除术后胃食管反流的临床分析 |
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| 引用本文： | 杨文东,彭伟强,李勇生,黄宇康.食管癌切除术后胃食管反流的临床分析[J].河北医学,2004,10(3):247-248. |
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| 作者姓名： | 杨文东 彭伟强 李勇生 黄宇康 |
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| 作者单位： | 广东省惠州市中心人民医院心胸外科,广东,惠州,516001;广东省惠州市中心人民医院心胸外科,广东,惠州,516001;广东省惠州市中心人民医院心胸外科,广东,惠州,516001;广东省惠州市中心人民医院心胸外科,广东,惠州,516001 |
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| 摘 要： | 目的：比较食管癌切除经不同消化道重建方式后出现胃食管反流的差别。方法：总结我院自1993年11月至2003年11月问食管癌切除术136例。其中98例食管癌切除术后行胃经食管床作食管胃吻合。吻合后用纵隔胸膜将胃体固定于食管床内，另外38例食管癌切除术后行胃经胸腔内跨越主动脉弓作食管胃吻合。结果：98例术后无出现胃食管反流(均为胃经食管床作食管胃吻合者)，另外38例则出现不同程度的胃食管反流。结论：食管癌切除行胃经食管床作食管胃吻合的消化道重建方式对防止食管癌术后出现胃食管反流有明显效果，患者可以获得较好的生活质量。
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| 关 键 词： | 食管癌切除术 胃食管反流 生活质量 |
| 文章编号： | 1006-6233(2004)03-0247-02 |
The clinical analysis of gastroesophageal reflux after resection of esophageal cancer |
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| YANG Wen-dong,PENG Wei-qiang,LI Yong-sheng,et al.The clinical analysis of gastroesophageal reflux after resection of esophageal cancer[J].Hebei Medicine,2004,10(3):247-248. |
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| Authors: | YANG Wen-dong PENG Wei-qiang LI Yong-sheng |
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| Abstract: | Objective: To compare the difference of occurance of gastroesophageal reflux after esophagogastrostomy with different type of reconstruction. Methods: From Nov. 1993 to Nov. 2003, 136 cases esophageal cancer have received resection of esophageal cancer were studied retrospectively. 98 cases anastomosed lying behind the aortic arch with the stomach in the esophageal bed . and the other cases anastomosed in front of aortic arch with the stomach advanced to the thorax. Result: 98 cases have not had gestroesphageal reflux after resection of esophageal cancer with anastomosis lying behind the aortic arch with the stomach in the esophageal bed. Conclusion: The preventive effect of gastroesophageal reflux of esophagogastrostomy with anastomosis lying behind the aortic arch with stomach in the esophageal bed were excellent , and improve the quality of life of the patients with esophageal cancer. |
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| Keywords: | Resection of esophageal cancer Gastroesphageal reflux Quality of life |
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