頁籤選單縮合
| 題 名 | Prospective Study of Using Fibrin Glue to Prevent Leak from Esophagogastric Anastomosis=利用纖維蛋白黏膠預防食道胃吻合術洩漏之前瞻性研究 |
|---|---|
| 作 者 | 許宏基; 許文虎; 黃敏雄; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 25:4 民81.07-08 |
| 頁 次 | 頁1248-1252 |
| 分類號 | 416.216 |
| 關鍵詞 | 纖維蛋白黏膠; 食道胃吻合術洩漏; |
| 語 文 | 英文(English) |
| 中文摘要 | 纖維蛋白黏膠已被廣泛地使用在各種胸腔及心臟血管外科的手術上。對於胃腸道的吻合術也有許多報告,但結果不一,且缺乏頸部胃食道吻合術的報告。 食道癌手術切除後以胃來重建,如果發生食道胃吻合術的洩漏則會增加病人的併發症及死亡。本研究以七十例可切除食道癌患者分成兩組,一組使用纖維蛋白黏膠加強於吻合處,另一組當成對照組不使用纖維蛋白黏膠。我們比較兩組間發生洩漏的病例數及產生洩漏的平均天數的差異。結果發現兩組間產生洩漏數目的差別並無差異,但洩漏發生的時間上卻有差異。 我們的結論是:使用纖維蛋白黏膠無法避免食道胃吻合術的洩漏發生,但卻可使洩漏發生的時間延後。 |
| 英文摘要 | Seventy patients with resectable esophageal carcinoma were selected for prospective study. Patients were randomized into two groups. Thirty-five patients used fibrin glue, another thirty-five patients were used as a control group and fibrin glue was not used. Standard esophagectomy was done and stomach was used for reconstruction. The esophagogastric anastomosis was placed on neck. The effect of fibrin glue to prevent the leak of the anastomosis was studied. Ten of the fibrin glue patients had leak (28.6%) and 11 ofthe control group patients had leak (31.4%). The rate of leak between these two groups had no statistic significance (p>0.05). The average time that leak occurred was 7.6± 1.07 (mean± S.D.) day in the fibrin glue group and 5.09± 0.94 (mean± S.D.) day in the control group. The difference had statistic significance (p<0.01). In the present study we conclude that using fibrin glue could not prevent the leak of the esophagogastric anastomosis, but could delay the time of leak. |
本系統中英文摘要資訊取自各篇刊載內容。