三角吻合术在食管胃颈部消化道重建中的疗效分析

发布时间：2018-03-21 23:13

本文选题：三角吻合术　切入点：消化道重建　出处：《基因组学与应用生物学》2017年09期 　论文类型：期刊论文

【摘要】：为了探讨三角吻合术在食管胃颈部消化道重建中的安全性和可行性临床疗效。选择我院2010年1月至2014年11月需要行微创食管切除、食管胃颈部吻合术手术的患者100例,按照随机数字表法分为观察组和对照组各50例,考察两组患者围手术期情况、术后并发症、术后随访情况和SF-36量表生活质量情况。结果显示,围手术期中观察组出血量显著少于对照组,手术时间显著长于对照组,其他项目所用时长观察组均显著短于对照组;观察组出现吻合口瘘、吻合口狭窄、腹腔感染、肠梗阻、术后并发症的患者数量均低于对照组;观察组出现身体不适的患者数量少于对照组;观察组各维度除情绪角色和心理健康两维度以外,其他维度得分均显著高于对照组。研究表明,三角吻合术在微创食管切除、食管胃颈部吻合术围手术期情况优于传统吻合术,且术后并发症减少,术后患者随访情况和生活质量均好于传统吻合术。
[Abstract]:To investigate the safety and feasibility of triangular anastomosis in the reconstruction of esophagogastric neck digestive tract, 100 patients with esophagogastrostomy and esophagogastrostomy were selected from January 2010 to November 2014 in our hospital. According to the random number table method, the patients were divided into observation group (n = 50) and control group (n = 50). The perioperative period, postoperative complications, postoperative follow-up and quality of life of SF-36 scale were investigated in both groups. During the perioperative period, the amount of blood loss in the observation group was significantly lower than that in the control group, and the operative time was significantly longer than that in the control group, and the other items in the observation group were significantly shorter than those in the control group, and there were anastomotic leakage, anastomotic stenosis, abdominal infection and intestinal obstruction in the observation group. The number of patients with postoperative complications was lower than that of the control group; the number of patients with physical discomfort in the observation group was lower than that in the control group; The scores of other dimensions were significantly higher than those of the control group. The results showed that triangular anastomosis was superior to traditional anastomosis in the perioperative period of minimally invasive esophagectomy and cervical esophagogastrostomy, and the postoperative complications were reduced. Postoperative follow-up and quality of life were better than traditional anastomosis.
【作者单位】：东南大学附属江阴医院;
【分类号】：R655.4

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