食管粘膜胃全层吻合——贲门成形术后抗胃食管返流功能的临床流行病学研究

作者设计并在临床上了一种新的手术方法以预防食管贲门癌手术后的胃食管返流。１９９４年４月－１９９５年１２月随机抽取３４例作实验研究组，同期使用吻合器吻合的２７例为对照组，术后进行了观察，监测和随访。研究组病例无胃食管返流症状，食管镜检查，钡餐造影无明显返流。

Clinical Epidemiologal Research of Antigastroesophageal Reflux after Cardiacplasty by Anastomosis of Esophageal Mucosa and Gastric Wall

A new operative method was designed for preventing gastroesophageal reflux after esophageal and cardiac cancer operation. From April, 1994 to December, 1995, sixty-one patients after resection of esophageal and cardiac cancer were randomly divided into two groups: experimental group with 34 patients and control group with the others. All patients were observed, monitored and followed up. It was found that no case in the experimental group showed symptoms of gastroesophageal reflux or marked reflux by esophagoscopy and barium meal examination. 10 patients (37%) in the control group had the symptoms of heartburn and regurgitation and inflammation and obvious gastroesphageal reflux were observed under esophagoscopy and barium meal examination. The pH values of anastomotic ostium were 7.0249 +/- 0.9996 and 4.6667 +/- 2.4573 in the experimental and control groups, respectively. Significant difference (P < 0.01) was observed between two groups with t test. The results showed that the advancement of operative method plays a key rolein prevention of gastroesophageal reflux.