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《食管胃吻合術(shù)后殘余食管胸胃功能的-研究》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在教育資源-天天文庫。
1、2．食管胃吻合術(shù)后為對抗食管咽反流而出現(xiàn)食管上括約肌關(guān)閉壓的增高。3．食管胃吻合術(shù)后，胃竇部蠕動(dòng)隨著時(shí)間的推移逐漸增強(qiáng)。4．胃食管反流程度受食管胃吻合13高度的影響，吻合13位置越高，胃食管反流程度越輕。關(guān)鍵詞：食管癌；胃食管吻合；胃食管反流；3THESTUDYoFMoTILITYoFRE刪ANTESoP姒GUSANDINTRATHORACICSTOM認(rèn)CⅡAFTERESoPHAGOGASTRoSToMYPostgraduate：LianfuZhangSpecialty：thoracicsurgery
2、Supervisor：Prof．WangPengABSTRACTobjectiveAtpresent，．Surgeryplaysanimportantroleinthetreatmentofesophagealcancer,delayedgastricemptyingandgastroesophagealrefluxusudlyoccursafterthedestructionoftheesophagealhiatus，aswellastheresectionoftheloweresophageals
3、phincters．Itisreportedthatthelocationofesophagogastricanastbmosisinfluencesthemotilityoftheintrathomcicstomachandtheextentofgastroesophagealreflux，however,wefoundmanydifferencesinthesestudies．Inthisstudy,weusedelectrogastrogram，esophaguspressuredetectio
4、n，endoscopy,uppergastrointestinalradiography,alongwithrefluxsymptomtoobjectivelyassessthemotifityoftheremnantesophagusandtheintrathoracicstomach，aSwellaStheextentofgastroesophagealreflux．MaterialsandMethodsTherewere600patientswithesophagealcarcinomawhor
5、eceivedoperationintheDepartmentofThoracicsurgeryfromCentralHoSpitalofTaiAnandThePeople’SHospitalofFeiChengbetweenJanuaryof201andJanuary2012．49patientswereselectedrandomly,nohistoryofcllromcdiseasessuchashypertention,diabetes，nohistoryofgastricdiseases，n
6、oobviousphysicaldistinction．Therewere37maleand12femaleatthemeanageof55years．Allofthecaseswerediagnosedbygastroscopeandpathologyexamination，26patientsofthemhadesophagealcarcinomaintheupperandmiddlethird，receivedcervicalesophagogastrostomy,while23patients
7、underwentesophagogastrostomyundertheaorticarch．Thepatientsweredividedintotwogroupsaccordingtothecoincidingsites，26patientswithneckanastomosisand23patientswithanastomosisbelowtheaorticarch．Wechosetenhealthyvolunteerswithoutdigestivetractsymptomandotherc1
8、1romcdiseases，theaverageagewas50．Wedetectedtheelectrogastrogramofthethoracicstomach3monthsand1yearaftersurgery,aswellastheelectrogastrogramofnormalpeople，EsophagealintraluminalmanometerWasperformedtoobserverestingpressureandperis
