| 食管胃垂瓣吻合在贲门癌术后抗反流的临床研究 |
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| 引用本文： | 杨继武|刘伟平|周业庭|姜志良|黎瑞.食管胃垂瓣吻合在贲门癌术后抗反流的临床研究[J].中国普通外科杂志,2010,19(4):392-395. |
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| 作者姓名： | 杨继武|刘伟平|周业庭|姜志良|黎瑞 |
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| 作者单位： | 江苏沭阳人民医院普通外科;大连大学附属中山医院胸心血管外科; |
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| 摘 要： | 目的评价食管胃垂瓣吻合术式在贲门癌术后抗反流的作用。方法将40例贲门癌患者随机分成研究组和手术对照组,每组20例,吻合方式分别采用食管胃垂瓣吻合术和传统食管胃吻合方式。在术后3个月分别采用24 h pH监测及胃镜检查,观察术后胃食管反流情况。另选10例健康人设为正常对照组。结果术后近期研究组及手术对照组pH各项监测指标均高于正常对照组(P0.05),手术对照组高于研究组(P0.05);两组反流性食管炎分级及组织学食管黏膜炎症程度均高于正常对照组(P0.05),而手术对照组高于研究组(P0.05)。结论食管胃垂瓣吻合术后也有一定的反流现象,但和传统手术相比,食管胃垂瓣吻合术具有明显抗反流作用。
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| 关 键 词： | 胃肿瘤/外科学 食管胃吻合 垂瓣成形术 贲门 胃食管反流/预防和控制 |
| 收稿时间： | 2009-07-07 |
| 修稿时间： | 2009-11-23 |
Clinical study on postoperative anti-reflux function of vertical esophagogastic valve-plasty anastomosis for cardiac cancer |
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| YANG Jiwu,LIU Weiping,ZHOU Yeting,JIANG Zhiliang,LI Rui.Clinical study on postoperative anti-reflux function of vertical esophagogastic valve-plasty anastomosis for cardiac cancer[J].Chinese Journal of General Surgery,2010,19(4):392-395. |
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| Authors: | YANG Jiwu LIU Weiping ZHOU Yeting JIANG Zhiliang LI Rui |
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| Institution: | YANG Jiwu1,LIU Weiping1,ZHOU Yeting1,JIANG Zhiliang2,LI Rui1(1.Department of General Surgery,Shuyang Hospital of Jiangsu Shuyan,Jiangsu,223600,China,2.Department of Vascular Surgery Zhongshan Hospital of Dalian University,Dalian,Liaoning 116001,China) |
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| Abstract: | Objective To appraise the postoperative anti-reflux function of vertical esophagogastic valve-plasty anastomosis for cardiac cancer.Methods Forty patients with cardiac cancer were randomly divided into study group and surgery control group,with 20 patients in each group.The study group underwent vertical esopagogastric valve-plasty anastomosis,while the surgery control group underwent conventional esophagogastrostomy.Ten healthy volunteers were recruited as normal control group.A 24-hour esophageal pH monit... |
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| Keywords: | Stomach Neoplasms/surg Esophagogastroanastomosis Valve-plasty Cardia Gastroesophageal Reflux/prev |
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