ＧＦ－Ⅰ型吻合器深埋防止返流性食管炎６０例分析山西省肿瘤医院（０３００１３）王春利，张荣生，韩之瑜随着吻合器的日益广泛应用，食管、贲门癌术后吻合口瘘及吻合口狭窄明显减少，但返流性食管炎无明显改善。针对这一并发症，我们从１９９１年２月至１９９２年２月，在６０例食管、贲门癌切除，吻合器吻合后行食管、胃深埋套入式方法，预防返流性食管炎效果满意，现报告如下：临床资料６０例中男性４８例，女性１２例；年龄最大者７８岁，最小者４２岁，平均年龄６０岁；病变部位：食管中段癌２６例；下段癌１６例；贲门癌１８例：癌切除后行胸膜顶吻合４例，主动脉弓上吻合３８例，弓下吻合１８例；使用２６＃吻合器４２例，２８＃吻合器１７例，３１＃吻合器１例；随机抽取６０例做对照手术方法为非套入法。手术方法：开胸后常规游离食管、胃，切除肿瘤，使用吻合器吻合后，距吻合口下方３ｃｍ用胃壁组织与吻合口上方３ｃｍ的食管肌层作间断缝合６～８针，把吻合口深埋套入胃内约３ｃｍ左右即可。疗效标准及结果：①自觉症状：病人开始进食后，取倒斜坡位（下同），询问有无胸骨后烧灼感及返流现象，套入法无，非套入法有２５例。②胃与食管ｐＨ值测定：术后第四天，拔除胃管前。先抽取胃液标本 Analysis of 60 Cases of Deep Preventive Reflux Esophagitis with GF-I Stapler (Shanxi Province Tumor Hospital) (030013) Wang Chunli, Zhang Rongsheng, Han Zhiyu Anastomotic fistula and anastomosis after operation of esophagus and cardiac cancer The stenosis was significantly reduced, but there was no significant improvement in reflux esophagitis. In response to this complication, from February 1991 to February 1992, we performed an esophageal and gastric burial method in 60 cases of esophageal or cardiac cancer resection and staple anastomosis to prevent reflux oesophagitis. , The report is as follows: clinical data in 60 cases of 48 males and 12 females; the oldest 78 years old, the youngest 42 years old, mean age 60 years; lesions: 26 cases of esophageal carcinoma; 16 cases of lower carcinoma; cardiac cancer In 18 cases: after excision of carcinoma, 4 cases of pleural top anastomosis, 38 cases of aortic arch anastomosis, and 18 cases of inferior arch anastomosis; 42 cases of stapler 26, 17 cases of stapler 28, and 1 case of 31 stapler; randomly selected 60 For example, the control surgery method is a non-inclusion method. Surgical method: After opening the chest, the conventional free esophagus and stomach were removed. After the anastomosis was used, the anastomosis was deepened. You can put it in about 3cm in the stomach. Efficacy criteria and results: 1 Subjective symptoms: After the patient started eating, he took down the slope position (the same below), asked whether he had poststernal burning sensation and regurgitation. There was no nesting method, and there were 25 cases without nesting. 2 Determination of gastric and esophageal pH: On the fourth day after surgery, the gastric tube was removed. First take a sample of gastric juice