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目的 为减少食管癌术后反流性食管炎的并发症发生率。方法 设计了吻合口粘膜对粘膜、粘膜管插入胃腔、胃浆肌层瓣包套吻合的手术方法。应用该手术方式 3 0例与同期食管胃常规吻合方法 3 0例进行对比研究 ,术后 10d行上消化道造影检查 ,术后 6个月行食管镜活组织检查和食管内反流液pH值测定。结果 两组均无手术死亡。对照组发生 1例吻合口漏。插入组各种检测数据明显优于对照组。结论 该术式接近生理要求 ,能有效地预防食管癌术后并发症 ,特别在预防吻合口狭窄和反流性食管炎方面有更为可靠的效果。
The purpose is to reduce the incidence of postoperative esophageal reflux esophagitis complications. Methods The anastomotic mucosa was designed to insert mucosa and mucosa into the gastric cavity and gastric mucosa. The operation of 30 cases of esophagogastric anastomosis with the same period of 30 cases of comparative study, 10d postoperative upper gastrointestinal imaging, 6 months after esophageal biopsy and esophageal reflux fluid pH value . Results There was no operative death in both groups. One case of anastomotic leakage occurred in the control group. Insert the group a variety of test data was significantly better than the control group. Conclusion The procedure is close to the physiological requirements, which can effectively prevent the postoperative complications of esophageal cancer, especially in the prevention of anastomotic stenosis and reflux esophagitis more reliable results.