| 食管癌、贲门癌切除术后胃食管反流的临床分析 |
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| 引用本文： | 欧阳励,唐滨江,唐建国,曾晓莉.食管癌、贲门癌切除术后胃食管反流的临床分析[J].赣南医学院学报,2009,29(1):72-73. |
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| 作者姓名： | 欧阳励 唐滨江 唐建国 曾晓莉 |
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| 作者单位： | 南昌大学第四附属医院胸心外科,江西,南昌,330003 |
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| 摘 要： | 目的：探讨食管癌、贲门癌切除术后胃食管反流的发生机制、抗反流措施和抗反流的手术方法及治疗。方法：左侧开胸食管癌、贲门癌切除术208例,其中颈部吻合86例,越过主动脉弓上吻合78例,主动脉弓下吻合44例,临床资料进行比较分析。结果：胃食管反流十分普遍,发病率较高达88%。208例中84例手术后出现胃食管反流症状,发生率40.3%,主动脉弓下吻合胃食管反流比例〉主动脉弓上吻合〉颈部吻合。结论：食管癌贲门癌切除术后吻合平面越高,反流越轻,食管胃颈部吻合术式具有更好的减轻术后胃食管反流的作用,能改善病人的术后生活质量。
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| 关 键 词： | 食管癌 贲门癌 不同平面吻合 胃食管反流 |
The clinical analysis of gastroesophageal reflux after carcinectomy of esophageal cancer and cardia cancer |
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| OU Yang-li,TANG Bin-jiang,TANG Jian-guo,et al.The clinical analysis of gastroesophageal reflux after carcinectomy of esophageal cancer and cardia cancer[J].Journal of Gannan Medical College,2009,29(1):72-73. |
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| Authors: | OU Yang-li TANG Bin-jiang TANG Jian-guo |
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| Institution: | OU Yang-li,TANG Bin-jiang,TANG Jian-guo,et al(The Forth Affiliated Hospital Of Nanchang University,Nanchang Jiangxi 330003) |
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| Abstract: | Objective:To explore the mechanism of gastroesophageal reflux after carcinectomy of esophageal cancer and cardia cancer,the measure and the surgery methods,the treatment of the esophageal cancer and gastric cancer.Methods: The left thoracic esophageal cancer,Choosing 208 cases with esophageal cancer and cardia cancer carcinectomy from left chest wall,of which 86 cases of anastomosis in neck,78 cases of anastomosis upon the aortic arch,44 cases of anastomosis under the aortic arch,to analyze comparatively th... |
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| Keywords: | esophageal cancer cardia cancer anastomosis plane gastroesophageal reflux |
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