管状胃对食管癌术后胃动力及胃排空功能的影响
The Effect of Tubular Stomach on Dynamics Parameters and Gastric Emptying Function after Esophageal Carcinoma Operation
-
摘要: [摘要] 目的 探讨管状胃对食管癌术后胃动力及胃排空功能的影响.方法 太和县人民医院80例食管癌手术患者,根据随机数字法,将其分为40例对照组(全胃食管吻合术)和40例观察组(管状胃食管吻合术),比较2组胃动力参数及胃排空功能变化情况,以及术后并发症.结果 与术前相比,术后2组胸胃静息压、蠕动收缩压及蠕动频率均明显降低,P<0.05;与对照组相比,观察组术后胸胃静息压、蠕动收缩压均明显增高,P<0.05;与对照组相比,观察组术后30 min、60 min、90 min胸胃排空率均明显增高,P<0.05;与对照组相比,观察组反流性食管炎、胸胃综合征发生率均显著降低,P<0.05.结论 管状胃食管吻合术能够促进胃动力及胃排空功能的恢复,降低术后并发症的发生率,值得临床推广.Abstract: [Abstract]Objective To study the effect of tubular stomach on dynamics parameter and gastric emptying function after esophageal carcinoma operation.Methods The enrolled 80 patients with esophageal carcinoma operation in our hospital were randomized into the control group(whole stomach esophagus anastomosis) and the observation group(tubular stomach esophagus anastomosis). The changes of stomach dynamics parameters and gastric emptying function on pre- and post-operation, and the postoperative complications in two groups were compared. Results Compared with the pre-operation, the thoracic stomach resting pressure, peristalsis systolic pressure and peristaltic frequency were significantly decreased on the post-operation in two groups (P<0.05). Compared with the control group,the thoracic stomach resting pressure,peristalsis systolic pressure on post-operative in the observation group were obviously increased in the observation group(P<0.05). Compared with the control group,the thoracic stomach emptying rate on 30 min,60min, 90min after operation were significantly increased in the observation group(P<0.05). Compared with the control group, the incidence of reflux esophagitis and chest syndrome was significantly reduced in the observation group(P<0.05). Conclusion The tubular stomach esophagus anastomosis can promote the recovery of stomach dynamics and gastric emptying function,reduce the incidence of postoperative complications,and is worthy of clinical promotion.
期刊类型引用(6)
1. 王兵,闫沛静,聂洪鑫,金大成,陈猛,杨克虎,苟云久. 管状胃与全胃重建食管治疗食管癌疗效的系统评价与Meta分析. 中国胸心血管外科临床杂志. 2020(05): 548-557 . 百度学术
2. 姜明,何筱天,吴多光,敖翔,李洪胜. 下咽-颈段食管癌术后3种缺损修复方法的并发症比较. 中华生物医学工程杂志. 2020(01): 62-63-64-65-66 . 百度学术
3. 何家贤,徐汉杰. 管状胃重建消化道在食管癌切除术中应用的研究进展. 局解手术学杂志. 2018(02): 152-155 . 百度学术
4. 江萍,李树德,朱月春,李思熳. PAR4在食管癌细胞中的表达及其机制. 昆明医科大学学报. 2017(04): 14-17 . 本站查看
5. 叶韶峰,龚晓成,韩建伟,丁庆国,杨爱明. 40例食管癌术后胃瘫综合征影响因素分析. 肿瘤学杂志. 2017(06): 549-552 . 百度学术
6. 杨友同,茹玉航,王坤,郝樊. 食管癌分别行管状胃代食管吻合术与传统全胃代食管吻合术对术后胃食管反流病情的控制效果. 昆明医科大学学报. 2016(12): 51-56 . 本站查看
其他类型引用(3)
-

计量
- 文章访问数: 3068
- HTML全文浏览量: 1153
- PDF下载量: 173
- 被引次数: 9