昆明医科大学学报2016，Vol.37Issue(12)：51-56,6.
食管癌分别行管状胃代食管吻合术与传统全胃代食管吻合术对术后胃食管反流病情的控制效果
The Control Effect on Postoperative GER Disease of Tubular Esophagus Stomach Anastomosis and Traditional Full Stomach Esophagus Anastomosis
摘要
Abstract
Objective To compare the control effect on postoperative GER disease between tubular EC stomach esophagus anastomosis and the traditional full stomach esophagus anastomosis.Methods From September 2010 to October 2015 in Bozhou People's Hospital,85 patients diagnosed with esophageal cancer undergoing elective resection were randomly divided into a tubular stomach EC group (45 cases) and total gastrectomy group (40 cases),two patients underwent esophageal resection,wherein the tubular stomach set of rows of tubular esophagus stomach anastomosis,total gastrectomy group underwent conventional full stomach esophagus anastomosis.After the surgery until the patient to return to normal gastrointestinal function uses dynamic monitor its pH 24h esophageal pH monitoring chamber,the other respectively after 1 March using RDQ Scale GER-related symptoms in patients with score,at the same time Statistics after 1 March of the occurrence of GER.Results There were no deaths occurred,and no occurrence of postoperative anastomotic fistula and thoracic gastric emptying dysfunction,etc;the two groups were almost reached full monitoring 24 h,and between groups while monitoring the total time,Li position monitoring time,there was no significant supine monitoring time (P＞0.05);24 h reflux episodes long tubular gastric reflux group and significantly less than the number of total gastrectomy group,the longest duration of reflux and pH value ＜4.00 The cumulative time was significantly shorter in total gastrectomy group,DeMeester scores were significantly lower than the total gastrectomy group,between groups were statistically significant (P＜0.01);postoperative gastric tube 1,March RDQ score and incidence of GER significantly lower than the total gastrectomy group,between groups were statistically significant (P＜0.01 or P＜0.05).Conclusion Tubular stomach esophagus anastomosis compared with conventional full stomach esophagus anastomosis resection of esophageal cancer has a more ideal GER disease control effect,and can provide a reference for the choice of nastomosis ways for patients with esophageal cancer surgery.关键词
食管癌/胃食管反流/管状胃代食管吻合术/全胃代食管吻合术Key words
EC/GER/Tubular stomach esophagus anastomosis/Full stomach esophagus anastomosis分类
医药卫生引用本文复制引用
杨友同,茹玉航,王坤,郝樊..食管癌分别行管状胃代食管吻合术与传统全胃代食管吻合术对术后胃食管反流病情的控制效果[J].昆明医科大学学报,2016,37(12):51-56,6.基金项目
国家临床重点专科基金资助项目(国家中医药办医政函2013[48]) （国家中医药办医政函2013[48]）
