腔镜直线切割吻合器行管状胃造瘘术在食管梗阻患者中的应用

临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 59-.

腔镜直线切割吻合器行管状胃造瘘术在食管梗阻患者中的应用

1. 大同市二医院肿瘤医院胸外科，山西大同 037005；2. 中国人民解放军中部战区空军医院胸外科，山西大同 037005

出版日期:2022-07-01 发布日期:2022-10-21

Application of endoscopic linear cutting stapler in tubular gastrostomy in patients with esophageal obstruction

1. Thoracic Surgery Department of Cancer Hospital of Datong Second Hospital, Shanxi Datong 037005, China; 2. Thoracic Surgery Department of Air Force Hospital of the Central Theater of the Chinese People's Liberation Army, Shanxi Datong 037005, China

Online:2022-07-01 Published:2022-10-21

摘要/Abstract

摘要：

目的探讨腔镜直线切割吻合器行管状胃造瘘术在食管梗阻患者中的应用。方法选取大同市二医院肿瘤医院2019 年1 月至2022 年1 月施行腔镜直线切割吻合器行管状胃造瘘术的患者76 例，根据随机数字表法分为观察组（n=38）与对照组（n=38），观察组行腔镜直线切割吻合器行管状胃造瘘术，对照组采取常规胃造瘘术，比较两组患者手术时间、切口大小、出血量及术后并发症情况。结果观察组患者手术时间、切口大小、出血量均优于对照组，差异有显著性（P ＜ 0.05）；观察组患者术后并发症发生率为7.89%，

明显低于对照组31.58%，差异有显著性（P ＜ 0.05）。结论腔镜直线切割吻合器行管状胃造瘘术操作简便，术后护理方便，减轻了患者负担，解决了该类患者长期不能进食而造成营养不良的问题，有效提高了患者的生活质量。

关键词: 管状胃造瘘, 直线切割吻合器, 食管梗阻

Abstract:

Objective To observe the operation time, incision size, patient tolerance, patient physical condition and complications, improvement of postoperative nutritional status and recovery time, so as to understand the advantages and benefits of this operation. Method Selected Cancer Hospital of Datong Second Hospital from January 2019 to January 2022 endoscopic linear cutting anastomosis stapler tubular gastrostomy 76 patients, randomly divided into observation group (n=38) and control group (n=38)according to the random number table method, observation group endoscopic linear cutting stapler tube gastrostomy, control group conventional operation mode, compare the two groups of operation time, incision size, bleeding. Result After surgery, the operation time, incision size and bleeding volume in the observation group were better than the control group, with significant differences (P ＜ 0.05).The trauma to the patient's body can be minimized, resulting in better results；The probability of postoperative complications in the observation group was 7.89%, significantly lower than 31.58%, and the difference was significant (P ＜ 0.05). Conclusion Endoscopic linear cutting stapler for tubular gastrostomy has the advantages of simple operation and convenient postoperative nursing, which reduces the burden of patients, solves the problem of malnutrition caused by long-term inability to eat, and effectively improves the quality of life of patients.

Key words: Tubular gastrostomy, Linear cutting stapler, Esophageal obstruction

尹朝栋, 姚伟杰, 高宝. 腔镜直线切割吻合器行管状胃造瘘术在食管梗阻患者中的应用 [J]. 临床普外科电子杂志, 2022, 10(3): 59-.

YIN Chaodong, YAO Weijie, GAO Bao. Application of endoscopic linear cutting stapler in tubular gastrostomy in patients with esophageal obstruction [J]. Journal of General Surgery for Clinicians, 2022, 10(3): 59-.