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首页> 外文期刊>Oncology, Gastroenterology and Hepatology Reports >Clinical Study of only One Stage Esophagoplasty by using Jejunum with Esophageal Stricture
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Clinical Study of only One Stage Esophagoplasty by using Jejunum with Esophageal Stricture

机译：空肠食管缝合术仅进行一期食管成形术的临床研究

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Background: Esophagoplasty is very important in the patients who couldn’t eat normal cereal since they had organic and functional diseases in esophagus. Esophagoplasty is including multi-stage plasty and one-stage one, but most surgeon in thoracic field was concerned that one-stage plasty was reduced the duration of hospitalization, mental and physical burden, especially complications and sequelae after operations. Method: Between January 1999 and December 2015, 432 consecutive cases of cicatrical esophageal stricture were enrolled in the study at Pyongyang medical college hospital, Kim Il Sung University. The patients were randomly selected to undergo one-stage esophagoplasty (study group, 71 cases) or stepby- step esophagoplasty (control group, 361 cases). Result: One stage esophagoplasty with jejunum is associated with good postoperative result (effectiveness shortly after operation 97.2±2.7%, follow up effectiveness 98.4±2.6%) and more simplified operating method, so it is possible to introduce into the clinical practice of esophagus surgery. Conclusion: One stage esophagoplasty with jejunum is more simplified and needs less operation time compared with step by step esophagoplasty. It is also related with good postoperative result and less complication, which allows the wide introduction into the clinical practice of esophagus surgery.
机译：背景：由于食管患有器质性和功能性疾病，食管成形术对于无法进食正常谷物的患者非常重要。食管成形术包括多阶段成形术和一阶段成形术，但是胸腔领域的大多数外科医师担心一阶段成形术减少了住院时间，精神和身体负担，尤其是术后并发症和后遗症。方法：1999年1月至2015年12月，在金日成大学平壤医学院附属医院连续进行了432例瘢痕性食管狭窄病例的研究。随机选择一期食管成形术（研究组71例）或逐步食管成形术（对照组361例）。结果：一期空肠食管成形术具有良好的术后效果（术后不久即有效率97.2±2.7％，随访有效率98.4±2.6％）和更简化的手术方法，因此有可能被引入食管手术的临床实践。结论：与分期食管成形术相比，一期空肠食管成形术更为简化，需要的手术时间更少。它也与良好的术后效果和较少的并发症有关，这使得可以广泛地引入食道手术的临床实践。

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