抗食管胃吻合术后返流的研究
Research on Resisting Reflux after the Anastomosis of Esophagus and Stomach
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摘要: 目的 研究食管癌贲门癌根治术抗返流的有效方法。方法 采用随机单盲对照研究, 将 10 0例分为实验组 (抗返流组 )和对照组 (无抗返流组 )。对照组采用常规食管胃吻合法, 实验组加抗返流术, 即 :食管胃单层吻合后, 再将胃壁呈斜形向上套在吻合口外建立Gubaroff瓣, 并将胃大弯侧向上提 1 5～ 2 0CM与纵隔胸膜固定形成His角。结果 实验组 :无返流 4 4例, 有返流 6例 ;对照组 :无返流 4例, 有返流 4 6例, 差异有非常显著性 (P <0 0 1), 说明实验组抗返流作用明显优于对照组。结论 本组研究实验组在常规食管胃吻合的基础上加抗返流术, 建立了Gubaroff瓣和His角, 取得与Nissen术等同样的抗返流效果, 是良好的抗返流方法。Abstract: Objective To study the effective measures on resisting reflux after the radical operation of the esophageal and cardic carcinoma. Methods 100 patients were randomly divided into two group:control group(resisting reflux group) and experimental group(no resisting reflux group).Control group was adopted the routine anastomosis way of esophagus and stomach.Experimental group was adopted a new surgery procedure on tresisting reflux:After unlined anastomosis of esophagus and stomach,the anastomosis was covered wit...
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