| 一层缝合法在高位及低位消化道吻合中的应用 |
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| 引用本文： | 吴志扬,彭如一,黄肇雄,冯平,朱文钿,郑小明,吴秋南,曾海峰,黎小明. 一层缝合法在高位及低位消化道吻合中的应用[J]. 中国现代医学杂志, 2004, 14(6): 74-75 |
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| 作者姓名： | 吴志扬 彭如一 黄肇雄 冯平 朱文钿 郑小明 吴秋南 曾海峰 黎小明 |
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| 作者单位： | 1. 广东省肇庆市第一人民医院,普外科,广东,肇庆,526021
2. 广东省罗定市人民医院,外科,广东,罗定,527200 |
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| 摘 要： | 目的探讨一层缝合法在高位及低位消化道吻合中的应用价值.方法@将一层缝合法应用于食管-空肠吻合29例,食管-胃吻合25例,结肠-直肠吻合126例,并观察其并发症发生率.结果食管-空肠吻合组吻合口瘘1例,占3.45%;食管-胃吻合组吻合口瘘1例,占4.00%;结肠-直肠吻合组吻合口瘘8例,占6.35%.全组无明显吻合口狭窄.结论一层缝合法应用于暴露困难的高位及低位消化道吻合,简化了操作,吻合口瘘或狭窄等并发症率较低.同时减少了胃底贲门癌开胸机会,提高了低位直肠癌的保肛率.
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| 关 键 词： | 消化道肿瘤 外科手术 吻合术 |
| 文章编号： | 1005-8982(2004)06-0074-02 |
Study of single layer anastomosis in upper and lower alimentary tract anastomosis |
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| WU Zhi-yang ,PENG RU-yi ,HUANG Zhao-xiong ,FENG Pi ng ,ZHU Wen-tian ,ZHENG Xiao-ming ,WU Qiu-nan ,ZENG Hai-feng a nd LI Xiao-ming. Study of single layer anastomosis in upper and lower alimentary tract anastomosis[J]. China Journal of Modern Medicine, 2004, 14(6): 74-75 |
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| Authors: | WU Zhi-yang PENG RU-yi HUANG Zhao-xiong FENG Pi ng ZHU Wen-tian ZHENG Xiao-ming WU Qiu-nan ZENG Hai-feng a nd LI Xiao-ming |
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| Affiliation: | WU Zhi-yang 1,PENG RU-yi 2,HUANG Zhao-xiong 1,FENG Pi ng 1,ZHU Wen-tian 1,ZHENG Xiao-ming 1,WU Qiu-nan 1,ZENG Hai-feng 1 a nd LI Xiao-ming 1 |
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| Abstract: | Objective: To study single-layer anastomosis used in elevation and low gastrointestinal tract anastomosis. Methods: Used Single- layer anastomosis me thod in 29 cases of esophagojejunostomy,25 cases of esophagogastrostomy,126 c ases of colorectostomy. And observed the complications rates of them. Re sults: There were 1 anastomotic leakages in esophagojejunostomy group( 3.45%), 1 anastomotic leakages in esophagogastrostomy group(4.00%),8 n astomotic leakages in colorectostomy group (6.35%). No anastomotic stenosis was found.Conclusions:Single-layer anastomosis used in elevation and low alimentary tract anastomosis which is difficult to esposure,the operation was simpler and complications were lower And reduced the chance of thoractomy i n esophagocardiac cancer and anal perservation rate in low rectal carcinoma was improved. |
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| Keywords: | gastrointestmalcancer surgical anastomosis |
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