本文選題：三角吻合術(shù)　切入點(diǎn)：消化道重建　出處：《基因組學(xué)與應(yīng)用生物學(xué)》2017年09期 　論文類(lèi)型：期刊論文

【摘要】：為了探討三角吻合術(shù)在食管胃頸部消化道重建中的安全性和可行性臨床療效。選擇我院2010年1月至2014年11月需要行微創(chuàng)食管切除、食管胃頸部吻合術(shù)手術(shù)的患者100例,按照隨機(jī)數(shù)字表法分為觀察組和對(duì)照組各50例,考察兩組患者圍手術(shù)期情況、術(shù)后并發(fā)癥、術(shù)后隨訪情況和SF-36量表生活質(zhì)量情況。結(jié)果顯示,圍手術(shù)期中觀察組出血量顯著少于對(duì)照組,手術(shù)時(shí)間顯著長(zhǎng)于對(duì)照組,其他項(xiàng)目所用時(shí)長(zhǎng)觀察組均顯著短于對(duì)照組;觀察組出現(xiàn)吻合口瘺、吻合口狹窄、腹腔感染、腸梗阻、術(shù)后并發(fā)癥的患者數(shù)量均低于對(duì)照組;觀察組出現(xiàn)身體不適的患者數(shù)量少于對(duì)照組;觀察組各維度除情緒角色和心理健康兩維度以外,其他維度得分均顯著高于對(duì)照組。研究表明,三角吻合術(shù)在微創(chuàng)食管切除、食管胃頸部吻合術(shù)圍手術(shù)期情況優(yōu)于傳統(tǒng)吻合術(shù),且術(shù)后并發(fā)癥減少,術(shù)后患者隨訪情況和生活質(zhì)量均好于傳統(tǒng)吻合術(shù)。
[Abstract]:To investigate the safety and feasibility of triangular anastomosis in the reconstruction of esophagogastric neck digestive tract, 100 patients with esophagogastrostomy and esophagogastrostomy were selected from January 2010 to November 2014 in our hospital. According to the random number table method, the patients were divided into observation group (n = 50) and control group (n = 50). The perioperative period, postoperative complications, postoperative follow-up and quality of life of SF-36 scale were investigated in both groups. During the perioperative period, the amount of blood loss in the observation group was significantly lower than that in the control group, and the operative time was significantly longer than that in the control group, and the other items in the observation group were significantly shorter than those in the control group, and there were anastomotic leakage, anastomotic stenosis, abdominal infection and intestinal obstruction in the observation group. The number of patients with postoperative complications was lower than that of the control group; the number of patients with physical discomfort in the observation group was lower than that in the control group; The scores of other dimensions were significantly higher than those of the control group. The results showed that triangular anastomosis was superior to traditional anastomosis in the perioperative period of minimally invasive esophagectomy and cervical esophagogastrostomy, and the postoperative complications were reduced. Postoperative follow-up and quality of life were better than traditional anastomosis.
【作者單位】： 東南大學(xué)附屬江陰醫(yī)院;
【分類(lèi)號(hào)】：R655.4

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本文編號(hào)：1645985