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消化道吻合器在頸部胃食管吻合中的應用

目的 總結食管癌切除后采用消化道吻合器行頸部胃食管吻合術治療食管癌患者的臨床經驗，以降低術后吻合口瘺和吻合口狹窄的發生率，提高手術療效。 方法 125例食管癌患者，根據采用的手術術式不同分為兩組，器械吻合組：行食管癌切除后采用國產常州WGWB-26型吻合器進行頸部胃食管吻合；手工吻合組，行食管癌切除后采用手工方法進行頸部胃食管吻合。 比較兩種手術術式的胃食管吻合時間、術后吻合口瘺和吻合口狹窄的發生率。 結果 全組無手術死亡。器械吻合組吻合時間少于手工吻合組（30±5min vs. 55±5 min, Plt;0.05），近期吻合口瘺和吻合口狹窄發生率明顯低于手工吻合組（0% vs. 4.8%, 0% vs. 9.5%,Plt;0.05）；器械吻合組隨訪1～15個月食管X線鋇餐檢查證實無吻合口狹窄。 結論 使用吻合器行胃食管器械吻合，能增加吻合的可靠性，減少術后并發癥，包括吻合口瘺和吻合口狹窄的發生。

巨大右房壁瘤伴房間隔缺損一例

Leading medical joint discipline + operation integrated development practice under the background of government-hospital cooperation

Under the background of a series of national policies, various forms of medical association have been established in recent years. The purpose of the medical association is to promote the coordination and integration of medical services and the rational distribution of medical resources. However, the implementation effect varies greatly. In the process of construction, there are problems such as the unsynchronized coordination and operation between the upper and lower levels, the inadequate integration of resources, the differences and conflicts in information standards and even cultural concepts, which limit the construction effect of the medical association to a certain extent. In order to solve these problems and explore a better path for the construction of medical association, this paper summarizes and analyzes the integrated development and construction measures of “discipline+operation” of the First People’s Hospital of Ziyang under the “government-hospital cooperation”, hoping to provide experience and reference for the construction of medical association to a certain extent through the summary and analysis, thus contributing to the better development of the construction of medical association.

Practice of hospital discipline construction under the group department operation service model

Discipline construction is the core of hospital survival and development, and an important carrier for hospitals to show service ability and play social benefits. The practice of Ziyang Central Hospital shows that the group department operation service model, by bringing together operational, performance, medical, insurance, and clinical department staff into a team, led by a member of the party and government leadership, has a positive impact on the development of the discipline, and has achieved significant results. This paper summarizes and analyzes the group department operation service model at Ziyang Central Hospital, and proposes that this service model is a new pathway to promote discipline development and provides a new perspective and reference experience for the hospital to achieve business and finance integration.