摘要
目的:观察食管癌术中"改良胃瓣"的抗反流作用。方法:将80例食管癌手术患者随机分为观察组和对照组(各40例)。观察组行食管胃端侧吻合,贲门处斜形闭合形成斜形断端,利用闭合口斜形胃壁,制作成"改良胃瓣",对照组行常规手术。观察两组患者在进食后的胃食管反流情况,并进行比较。结果:观察组患者反流发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:食管癌手术合理利用"改良胃瓣"明显降低食管反流发生,能够提高患者手术后生活质量,而且其方法简单、易行。
Objective： To observe anti-reflux effect of modified stomachic disc approach in the operation of esophageal cancer.Method： Eighty patients undergoing esophageal carcinoma were randomly divided into the observation group and the control group with 40 cases in each group.In the observation group, after gastroesophageal anastomosis the modified stomachic disc was made by the use of the oblique stomachic end.The control group underwent conventional operation.The incidence of esophageal reflux was compared between the two groups.Result： The reflux rate of the observation group was lower than that of the control group, the difference was statistically significant（P〈0.05）.Concluslon： The modified stomachic disc technique can effectively reduce the incidence of gastroesophageal reflux, which can improve patients＇ postoperative quality of life, and is simple and feasible.
作者
赵龙
刘海军
潘京淮
ZHAO Long LIU Hai-jun PAN Jing-huai(People＇s Hospital ofSiyang County, Slyang223700, Chin)
出处
《中外医学研究》
2017年第2期3-5,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
食管癌
改良胃瓣
胃食管反流
Esophageal cancer
Modified stomachic disc
Gastroesophageal reflux
