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目的评价综合抗反流术式在贲门外科临床应用的效果。方法将33例贲门癌患者食管胃吻合术中采用综合抗反流术者作为A组,另选取临床资料相仿,但未行综合抗反流术的8例贲门癌手术患者作为B组对照,通过手术前后食管胃腔内测压以及24 h pH值测定评价抗反流效果。结果A组术后食管体部出现新的高压区,其pH<4的总时间(%)、pH<4的反流次数、>5 min的反流次数各项指标均较B组明显减少(P<0.01)。结论综合抗反流术式方法简便,临床抗反流效果好,值得在贲门外科中推广应用。
Objective To evaluate the clinical effect of integrated anti-reflux surgery in cardia surgery. Methods 33 cases of cardia cancer patients esophagogastric anastomosis with integrated anti-reflux surgery were used as A group, the other selected similar clinical data, but did not take anti-reflux surgery in 8 cases of cardia cancer patients as a control group B, by Before and after esophageal gastric pressure measurement and 24 h pH value evaluation anti-reflux effect. Results A new high pressure area appeared in the esophageal body of group A, the total time (%) of pH <4, the frequency of reflux for pH <4 and the number of reflux for> 5 min were significantly lower than those for group B P <0.01). Conclusions Comprehensive anti-reflux surgery method is simple, clinical anti-reflux effect is good, it is worth in the cardia surgery in the promotion and application.