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我们自1986年12月至1994年初应用沪产GF-I型吻合器等系列器械重建食管胃吻合口588例,其中术后528例进行了吻合口及生活质量随诊观察,现报告如下。 临床资料 本组病例,男374例,女154例,年龄34岁～72岁,平均59.3岁。食管胸上段6例,胸中段168例,胸下段74例,贲门癌280例。食管胃吻合方法:颈部吻合8例,弓上吻合240例,弓下吻合280例。吻合口并发症:吻合口瘘4例占0.76％,吻合口狭窄2例占0.38％,吻合口出血占0.19％。随诊方法: 1.食管造影随诊,从术后1个月开始,每3～6个月来复诊时作随诊造影观察,随诊率达89.79％。按复诊时间顺序排队各位患者的食管片,随机抽取其中1份三位片进行评价。经统计学处理吻合口直径在11mm～26mm者占到85％,而且与术后的时间无直接关系。测定吻合口直径最小5mm,最大35mm,平均20mm。
From December 1986 to early 1994, we used Shanghai-made GF-I stapler and other devices to reconstruct 588 cases of esophageal gastric anastomosis. Among them, 528 patients underwent anastomosis and quality of life follow-up observations. The report is as follows. Clinical data in this group of patients, 374 males and 154 females, aged 34 to 72 years, an average of 59.3 years. Esophageal thoracic 6 cases, thoracic 168 cases, 74 cases of lower thoracic, 280 cases of cardiac cancer. Esophagogastric anastomosis: 8 cases of neck anastomosis, 240 cases of anastomosis on the arch, 280 cases of anastomosis under the arch. Anastomotic complications: Anastomotic fistula in 4 cases accounted for 0.76%, anastomotic stricture in 2 cases in 0.38%, and anastomotic bleeding in 0.19%. Follow-up methods: 1. Followed by esophageal angiography, starting from 1 month after the operation, every 3 to 6 months to return for follow-up imaging observation, follow-up rate of 89.79%. All the patients’ esophageal films were lined up according to the order of visits, and one of them was randomly selected for evaluation. After statistical analysis, the diameter of anastomosis was between 11mm and 26mm, accounting for 85%, and it was not directly related to postoperative time. The minimum diameter of the anastomotic stoma is 5mm, the maximum is 35mm, and the average is 20mm.