食管贲门癌切除吻合方式与吻合口并发症关系的研究

目的 :研究降低食管、贲门癌切除吻合口瘘及狭窄的发生率的方法 :方法 :对 12 6例病人采用Gambee氏单层吻合 ,并与同期 78例传统双层套入式食管、胃吻合患者比较。结果 :Gambee氏单层吻合发生吻合口瘘 1例 (1 12 6) ,发生率 0 8% ,无吻合口狭窄 ;对照组吻合口瘘 4例 (4 78) ,发生率为 5 1% ,吻合口狭窄 7例 (7 78) ,发生率 9%。结论 :Gambee氏单层吻合是一种操作简便、安全可靠的降低吻合口并发症发生率的吻合方法

Study on the Relation Ship between the Way of Anastomosis of Esophagel Cancer and Cardial Cancer andthe Leakage of Anastomosis

Objective To explore the way which could decrease the occurrence rate of the leakage and narrowness of anastomosis after the operation of esophogeal and cardial cancer.Methods Among 204 cases,126 cases were treated using Ganmbee's anastomosis with sigle layer,78 cases were treated using traditional anastomosis with double layers,and the two groups were compared.Results One case occurred the leakage of anastomosis in Gambee's anastomosis with sigle layer group(1/126);the occurrence rate was 0.8% and no narrowness of anastomosis was found.In the other group,4 cases were occurred leakage of anastomosis (7/78)and the occurrence rate was 9%.Conclusion The Gambee's anastomosis with sigle layer is the way which manipulation is simpler,secur,reliable and can decrease the occurrence rate of the leakage of anastomosis.