隧道式和器械式食管胃弓上吻合術(shù)后胃食管反流狀況的比較.pdf

1、遵義醫(yī)學(xué)院碩士學(xué)位論文隧道式和器械式食管胃弓上吻合術(shù)后胃食管反流狀況的比較姓名：楊勇申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：外科學(xué)指導(dǎo)教師：姜志良20090501遵義醫(yī)學(xué)院碩士學(xué)位論文英文摘要PostoperativegastroesophagealrefluxstatuscomparisonbetweentunnelandstapleesophagogastricanastomosisaboveaorticarchABSTRACTObjective：

2、ToprobeandcomparethestatusofgastroesophagealrefluxaftertwokindsofintrathoracicesophagogastrostomythestapledanastomosisandthetunnelanastomosisaboveaorticarchMethods：FromMarch2008toJanuary2009，atotalof56casesofesophagealca

3、ncerpatientswereselectedintheThoracicSurgeryDepartment，TangduHospitalofFourthMilitaryMedicalUniversityAllpatientswereimplementedesophagogastrostomyaboveaorticarchThecohortWasdividedintostaplergroup(SG：35cases，stapledesop

4、hagogastrostomy)andthetunnelgroup(TG：21cases，tunnelesophagogastrostomy)inaccordancetothemethodsofesophagogastricanastomosis。3monthsafteroperation，thedegreeandscoreofheartbumsymptomsweresurveyed；theextentandincidenceofref

5、luxesophagitiswereexaminedbyelectronicgastroseope；24houresophagealpHmonitoringtestwasusedtomonitor：numberofrefluxes，numberoflongrefluxes，durationoflongestreflux，timepH4，fractiontimepH4andDemeesterscoreTheabove—mentionedi

6、ndicatorswereanalyzedbySPSS115softwareResults：Betweenthetunnelandstaplegroups，therearesignificantlydifferenceintheheartburnsymptomincidencefor6／21and22／35(286％and629％，P005)，intheheartbumscorefor048士087and100士097(尸005)，in

7、thegrade(P005)andalsointherefluxesophagitisincidencefor11／21and28／35(524％and80％，PO05)，intherefluxesophagitisscorefor076士083and143士092儼005)，intherefluxesophagitisgrade妒O05)；theincidenceofheartburnandrefluxesophagitisinthe

8、cohortis28／56(50％)and39／56(696％)，respectivelyandhavesignificantlydifference(尸l00影eachvalueof24一hourpHmonitoringinthetunnelandstaplegrouphavesignificantlydifference：Demeesterscorefor3370士1860and5774士3331(POO夥，numberofrefl

9、uxesfor6638士4960and10060士5793妒OO勁numberoflongrefluxesfor8384713and1520士1001(尸O05)，durationoflongestrefluxfor2495士1214minand4011士1733min(尸005)，timepH4forl6157士9913rainand28740士15406min(P005)，fractiontimepH4for1122士688and1