摘要
目的探讨食管贲门癌术后吻合口瘘形成的原因及治疗体会。方法收集手术切除肿瘤,行食管胃吻合术食管贲门癌术后吻合口瘘的患者60例,其中胸腔内吻合48例,颈部吻合12例,回顾分析其形成的原因及治疗方法。结果胸腔内吻合口瘘48例,死亡4例。颈部吻合口瘘12例,无一例死亡。结论注意手术操作及改进吻合方法是减少吻合口瘘的关键因素,确切的感染控制和充分的营养支持是降低死亡率的有效手段。
Objective To explore the cause of anastomotic fistula after esophagus cancer and cardiac cancer operation and its prevention and treatment. Methods After excising the tumors,the esophagogastrostomy was performed in 60 cases,in which the cervial anastomose in 48 cases and intrathoracic anastomose was adopted in 12 cases.We retrospectively analyzed its prevention and treatment. Results Cervial anastomose in 48 cases,4 patients with anastomotic fistula in the died,while none of 12 cases in the cervial anastomose died.Conclusion Careful procedure and improving the anastomotic method are the key factors to reduce the anastomotic fistula,the accurate control of infection and full nutritive support are the effective methods to decrease the mortality rate of this disease.
出处
《中国现代药物应用》
2007年第2期11-13,共3页
Chinese Journal of Modern Drug Application
关键词
食管癌
贲门癌
吻合口瘘
Esophagus cancer
Cardiac cancer
Anastomotic fistula
