引用本文:赵延江,黄虹儒,兰 朗,蓝文青.机械吻合与手工吻合在食管癌切除术食管胃吻合中的应用效果比较[J].中国临床新医学,2017,10(6):555-557.
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机械吻合与手工吻合在食管癌切除术食管胃吻合中的应用效果比较
赵延江,黄虹儒,兰 朗,蓝文青
546300 广西,河池市第一人民医院心胸腺体外科
摘要:
[摘要] 目的 探讨机械吻合与手工吻合在食管癌切除术食管胃吻合中的应用效果。方法  对2010-02~2016-03该院收治的食管癌切除术患者机械吻合(机械吻合组,n=73)和手工吻合(手工吻合组,n=65)手术相关指标及并发症发生率进行比较,评价两种吻合方式的效果。结果 机械吻合组食管胃吻合所需时间、总手术时间、住院时间均明显短于手工吻合组,而住院费用则明显较高(P<0.01)。机械吻合组总并发症发生率明显低于手工吻合组(P<0.05)。结论 食管癌切除术采用机械吻合操作简便、手术时间短、术后恢复快,有助于降低并发症发生率。
关键词:  机械吻合  手工吻合  食管癌切除术  并发症
DOI:10.3969/j.issn.1674-3806.2017.06.17
分类号:R 745
基金项目:
Comparison of the clinical effects between mechanical and handsewn esophagogastric anastomosis on esophagus cancer
ZHAO Yan-jiang, HUANG Hong-ru, LAN Lang, et al
Department of Thoracic Surgery, the First People′s Hospital of Hechi City, Guangxi 546300, China
Abstract:
[Abstract] Objective To study the clinical effects of mechanical anastomosis and layered anastomosis by hand on esophagus cancer.Methods The indexes related to the operation and the incidence of complications were compared between the mechanical anastomosis group(by mechanical anastomosis, n=73) and the hand anastomosis group(layered anastomosis by hand, n=65). All the patients were performed the operation of esophagus cancer from February 2010 to March 2016, and their clinical effects were evaluated and compared between the two anastomosis methods.Results The esophagogastric anastomosis time, total operation time and hospitalization time of the mechanical group were shorer than those of the hand anastomosis group, but the hospitalization expenses was higher than that of the hand anastomosis group(P<0.01). The incidence of total complications of the mechanical group was lower than that of the hand anastomosis group(P<0.05).Conclusion Mechanical anastomosis is simple and shortens the operation time and makes the patients recover rapidly in the operation of esophagus cancer.
Key words:  Mechanical anastomosis  Hand anastomosis  Esophagus cancer operation  Complications