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目的 临床应用可吸收线行胃食管连续缝合吻合法 ,观察吻合口愈合和狭窄情况。方法 应用 3 - 0和4 - 0国产带针可吸收线 (青安公司生产 )作胃食管不同平面分层连续缝合吻合 ,治疗食管癌、贲门癌 34例。结果 全组无临床死亡 ,吻合口瘘 1例经姑息治疗痊愈 ,其余病例均痊愈出院 ,全组有轻度吻合口狭窄 3例 ,可进食软食无梗阻 ,经行吻合口扩张后能进正常饮食。结论 采用可吸收线行胃食管分层连续缝合吻合术是可行的 ,吻合口瘘发生率低 ,吻合口狭窄病例少 ,程度轻 ,影响小 ,有关吻合口的病程生理改变 ,有待作动物实验进一步研究论证。
Objective To observe the anastomotic healing and stenosis of gastric anastomosis by the line of absorbable gastric esophageal continuous suture anastomosis. Methods 34 cases of esophageal and gastric cardia cancer were treated with 3-0 and 4-0 homemade absorbable needle with acupuncture points (produced by Qing’an Company) for continuous stitching and anastomosis of different layers of gastroesophageal junction. Results There was no clinical death in all the cases. One case of anastomotic fistula was cured by palliative treatment. The rest cases were cured and discharged. There were 3 cases with mild anastomotic stenosis in the whole group. They could eat soft food without obstruction, . Conclusions It is feasible to adopt anabsorbable line of gastroesophageal stratified continuous suture anastomosis. The incidence of anastomotic fistula is low, the number of anastomotic stenosis is small, the degree is light and the influence is small. The course of anastomotic stoma should be further studied Research and demonstration.