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目的探讨食管癌切除人工吻合术与机械吻合术的临床效果差异。方法选择我院2008年3月至2011年3月食管癌患者60例,上述患者分为两组,观察组和对照组。对照组患者实施食管癌切除,人工吻合术。观察组患者实施食管癌切除,机械吻合术。观察两组患者手术和术后情况。结果观察组胃食管吻合时间和手术总时间分布于对照组比较,差异有统计学意义(P<0.05);观察组吻合口瘘和吻合口狭窄发生率显著低于对照组,差异有统计学意义(P<0.05);观察组住院天数短于对照组,差异有统计学意义(P<0.05)。结论食管癌切除机械吻合术能够缩短手术时间,降低患者术后并发症发生率,有助于患者恢复,效果显著。
Objective To investigate the clinical effects of artificial anastomosis and mechanical anastomosis in resecting esophageal carcinoma. Methods Sixty patients with esophageal cancer were selected from March 2008 to March 2011 in our hospital. The patients were divided into two groups: observation group and control group. Patients in the control group underwent esophagectomy and artificial anastomosis. Patients in the observation group underwent esophagectomy and mechanical anastomosis. The two groups of patients underwent surgery and postoperative conditions. Results The gastroesophageal anastomosis time and total operative time distribution in the observation group were significantly different from those in the control group (P <0.05). The incidence of anastomotic fistula and anastomotic stenosis in the observation group was significantly lower than that in the control group (P <0.05). The length of hospital stay in the observation group was shorter than that in the control group, with significant difference (P <0.05). Conclusion Esophageal cancer resection of mechanical anastomosis can shorten the operation time, reduce the incidence of postoperative complications, help patients recover, the effect is remarkable.