摘要
报告31例食管憩室(咽食管憩室9例,中段憩室16例,膈上憩室6例)的诊断及手术治疗经验。31例中手术治疗26例,包括憩室切除术20例,憩室内翻缝合术4例,肌层修补术1例及食管切除术1例。全组无手术死亡、食管瘘或其它合并症。随访1~5年,远期疗效优良率为92.3%。憩室复发2例(复发率7.7%)。作者认为:手术方式以憩室切除术效果最好;憩室内翻缝合术具有无胸腔污染、进食早、无瘘发生等优点,应加以利用。
Diverticulum of the esophagus is not a common disease and may occur in any section of the esophagus.It does not usually require surgical treatment unless symptoms become distressing,In this paper,3l cases of esophageal diverticulum were reviewed.The diverticulum located in the cervical portion of the esophagus in 9 cases,epibronchial segment in l6 and supra-diaphragmatic site in 6.Surgical treatment was required and performed in 26 cases.The surgical procedures included complete resection of the diverticulum in 20,partial resection in l,inversion and suturing technique in 4 and repair of the muscular layer in one,Long-term good results were obtained in 92.3%(24/26)and late recurrence of the diverticulum appeared in 7.7%(2/16).The clinical data indicate that resection of the diverticulum gives the best results,but the inversion and suturing technique is a simple,safe method without the possibility of spilling of the esophageal contents to the pleural cavity or the danger of leakage formation. Early oral food intake shortens the time of parenteral feeding or makes the latter unnecessary.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1996年第1期26-27,共2页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
食管憩室
外科手术
临床分析
Diverticulum of esophagus
Surgical treatment