胃食管吻合术

Methods: From May 1985 to December 2002, 2240esophageal and stomach cardia cancer patients treated by intrathoracic esophagogastric "layer-to-layer"anastomosis with esophageal mucosa extended varied in plane were retrospectively analyzed.

回顾性总结1985年5月～2002年12月共进行胸腔内食管黏膜延长不同平面与胃、食管分层吻合术2240例，统计手术后和出院后随访资料发生吻合口瘘和吻合口狭窄的情况。

To evaluate the clinical value of intrathoracic esophagogastric "layer-to-layer" anas tomosis with esophageal mucosa extended varied in plane and to study the effective methods to prevent anastomotic leaking or stricture postoperatively.

目的 评价胸内食管黏膜延长不同平面与胃、食管分层吻合术，探讨预防食管吻合口瘘和吻合口狭窄发生的吻合方法。

Intrathoracic esophagogastric "layer-to-layer" anastomosis with esophageal mucosal extended varied in plane is an ef fective method to prevent anastomotic leaking and stricture postoperatively.

食管、胃黏膜延长不同平面分层吻合术是预防吻合口瘘和吻合口狭窄的有效吻合方法。

Methods:from 1988 to 2004, 26 patients (25 males and 1femal, aged from 28～72 years old) with esophagus rupture were treated. among the 26 cases, 2 cases received conservative treatment; 6 cases' esophaguses were slit to extirpate heterogeneous things; 3 cases received thorax and mediastinal conduction added gastrostomy or jejunostomy; 14 cases received esophagus hernioplasty; 1case was put the metallic bracket into esophagus and then received esophagus resection and esophagus -gastric anastomosis in the second period.

1988～2004年收治食管破裂患者26例，其中男25例，女1例，年龄28～72岁。26例患者中，2例保守治疗，6例切开食管摘取异物，3例行胸腔、纵隔引流加空肠及胃造瘘术，14例行食管修补术，1例行食管内带膜金属支架植入，二期再行食管切除食管胃吻合术。

The measure of quiescence pressure and rang was no obvious difference between surgical group and normal group.

食管-胃壁内吻合术能够部分达到贲门功能重建的作用，可较好预防反流性食管炎的发生。

Three types of reconstruction procedures, including Orr-type Roux-en-Y esophagojejunostomy, P-type jejunal pouch Roux-en-Y esophagojejunostomy and distal jejunal aboral pouch Roux-en-Y esophagojejunostomy, were performed.

全胃切除后消化道重建分别采用全胃切除术后消化道重建Orr式Roux-en-Y食管空肠吻合术、P型空肠袢食管空肠Roux-en-Y吻合术和远端空肠反口贮袋的Roux-en-Y食管空肠吻合术。

Abstract］ Objective To explore the effect of esophagogastric intramural anastomosis on reconstructing cardial function and preventing reflux esophagitis.

摘要］ 目的探讨食管-胃壁内吻合术贲门功能重建对预防反流性食管炎的作用。

Objective\ To find out a good method to reduce or eliminate the chylothorax after resection of esophageal carcinoma.

目的 寻找减少或消除食管癌切除术后乳糜胸发生率的有效方法。方法随机选取 45例食管癌患者，在食管癌切除加胃食管残端吻合时，一期行预防性低位胸导管结扎术(第 8胸椎水平以下)；另 92例作对照组，仅做食管癌切除加胃-食管残端吻合术。

Methods:The incisional infection rates between the manual way (43 cases) in March 1998 and the anastomat way (59 cases) in March 2006 in the esophagogastrostomy after resection fo esophageal carcinoma were compared.

回顾分析我院1998年3月手工吻合43例与2006年3月器械吻合59例病人行食管癌切除食管胃吻合术，比较器械吻合组和手工吻合组术后切口感染率的发生。

Methord 45 patients of the esophageal carcinomawho were, at random, elected had been undergone the ligation of thoracic duct( Low level: under the 8th thoracic vertebrae) during resection of esophageal carcinoma and esophagogastrostomy, while the other 92 patients of the esophageal carcinomahad only been operated the resection of esophageal carcinoma and esophagogastrostomy.

随机选取45例食管癌患者，在食管癌切除加胃-食管残端吻合时，一期行预防性低位胸导管结扎术(第8胸椎水平以下)；另92例作对照组，仅做食管癌切除加胃－食管残端吻合术。

In the United States, chronic alcoholism and hepatitis C are the most common ones.

在美国，慢性酒精中毒，肝炎是最常见的。

If you have any questions, you can contact me anytime.

如果有任何问题，你可以随时联系我。