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目的 :食管、贲门癌切除术后病人常易发生返流性食管炎 ,严重影响生活质量。本文旨在观察术中采用弹力环外置吻合口上方来预防返流性食管炎的疗效。方法 :分别对应用弹力环组 (31例 ) ,对照组 (2 6例 )食管、贲门癌手术病人行术前、术后 2 4h食管pH值监测并统计术后 6个月返流性食管炎的临床发生情况 ,行统计学处理。结果 :①应用弹力环组术后pH值多项指标显著低于对照组 (P <0 .0 5或 0 .0 1) ,而术前检测值则无显著差异。②术后 6月用弹力环组较对照组的返流性食道炎临床分度统计情况显著减轻 (P <0 .0 5 )。结论 :食管、贲门癌切除术中采用弹力环外置吻合口上方的病人较常规手术病人可取得较好的生活质量。
Objective: esophageal and cardiac resection patients often prone to reflux esophagitis, seriously affecting the quality of life. This article aims to observe the use of elastic ring outside the anastomosis above the prevention of reflux esophagitis curative effect. Methods: Esophageal pH values were monitored before and 24 h after operation in elastorocyst group (31 cases) and control group (26 cases) respectively. The reflux esophagitis The clinical situation, the line statistics. Results: ① The indexes of pH value after using elastic ring group were significantly lower than that of the control group (P <0.05 or 0.01), while there was no significant difference between preoperative values. ② The clinical index of reflux esophagitis was significantly reduced by elastic ring group in June after operation (P <0.05). Conclusion: Patients with esophageal and gastric cardia resection using elastic ring external anastomotic superior quality of life than conventional surgery patients.