作　　者： (樊佃怀）;

机构地区： 山东省邹城市人民医院胸外科,山东邹城273500

出　　处： 《中国医药指南》 2017年第24期13-14,共2页

摘　　要： 目的分析管状胃在食管癌手术后对胃食管反流的影响。方法选取我院52例食管癌患者为研究对象,分为观察组(n=26)和对照组(n=26)。观察组采用管状胃吻合术进行治疗,对照组采用传统全胃代食管吻合术进行治疗。术后两周进行24h食管腔pH监测,用DeMeester对术后1个月、3个月反流发生率以及RDQ进行评分并比较疗效。结果观察组患者24 h酸反流次数、pH值<4的总时间、最长酸反流持续时间、>5 min酸反流次数、DeMeester评分、胃食管反流发生率以及RDQ评分均低于对照组,,且P<0.05,具有统计学意义。结论管状胃能减轻食管癌患者手术后胃食管反流症状,降低反流发生率,提高患者生活质量,值得临床推广。 Objective To analyze the effect of tubular stomach on gastroesophageal reflux after operation of esophageal carcinoma.Methods52cases of esophageal cancer in our hospital were selected as the research object,divided into observation group(n=26)and control group(n=26).The observation group was treated with tubular stomach anastomosis,and the control group was treated with traditional whole stomach esophagus replacement anastomosis.Two weeks after operation,the24h was monitored by pH,and the incidence of reflux and RDQ were evaluated by DeMeester at1and3months after operation,and the therapeutic effects were compared.Results Patients with24h acid reflux episodes,pH value<4of the total time and the longest reflux duration,>5min acid reflux episodes,DeMeester score,the incidence of gastroesophageal reflux and RDQ score were lower than the control group,and P<0.05,with statistical significance.Conclusion The tubular stomach can reduce the gastroesophageal reflux symptoms,reduce the reflux rate and improve the quality of life of patients with esophageal cancer.It is worthy of clinical promotion.

关 键 词： 管状胃 食管癌手术 胃食管反流 分析