吻合口全层间断加强缝合用于食管癌颈部机械吻合

摘要

Objective:To explore the feasibility and efficacy of one layer interrupted strengthening suture applied in cervical mechanical anastomosis of esophageal cancer operation .Methods:Forty patients with upper and middle esophageal carcinoma , who underwent cervical mechanical anastomosis during operation ,were divided into two groups .In group A ,22 patients re‐ceived no further treatment for the anastomotic stoma after anastomosis .In group B ,18 patients received one‐layer interrupted strengthening suture with 3‐0 prolene for the anastomotic stoma after mechanical anastomosis .Results:The cervical mechanical anastomosis reached one‐time success in all 40 patients .In group A ,4 cases of anastomotic leakage and 3 cases of anastomotic stricture occurred after operation and were cured .No anastomotic leakage and anastomotic stricture was identified in group B . Conclusions:The application of anastomotic one layer interrupted strengthening suture in cervical mechanical anastomosis of esophageal cancer operation could significantly reduce the incidence rates of anastomotic leakage and stricture .It is worthy of promotion and application .%目的：探讨吻合口全层间断加强缝合在食管癌颈部机械吻合中应用的可行性和临床疗效。方法：将40例行食管上中段癌颈部机械吻合的患者分为两组。A组患者22例，吻合完成后，吻合口不作进一步处理；B组患者18例，吻合完成后，吻合口用3‐0薇荞缝线间断全层加强缝合一周。结果：40例患者行颈部机械吻合均一次成功。术后A组发生吻合口瘘4例，吻合口狭窄3例，均为吻合口瘘治愈的病例。B组未发生吻合口瘘及狭窄。结论：吻合口全层间断加强缝合在食管癌颈部机械吻合中应用可明显减少吻合口瘘及吻合口狭窄的发生率，值得推广。