食管癌颈部吻合口瘘与感染关系的研究

The Study of Relationships Between Stoma Fistula and Infection of Incervical Part of Esophageal Carcinoma

目的探讨导致食管癌颈部吻合口瘘发生的主要原因。方法为预防颈部切口感染对围手术期的处理进行改进。设定改进前为污染组,改进后为清洁组。两组吻合口瘘发生率的比较采用χ2检验。结果污染组发生率为12.5%,清洁组发生率为2.4%,χ2=9.258,P=0.002,差异有显著性。结论颈部切口感染是食管癌颈部吻合口瘘发生的主要原因。

Objective To investigate the primary cause of stoma fistula in cervical part of esophageal carcinoma. Methods Improve the treatment methods before operations to prevent the infection of incisional wound in cervical part. Treatments before the improvement was set as pollution group, and the improved treatments as depuratory group.Х^2 test is used to compare the incidence of stoma fistula between the two groups. Results The incidence of pollution group was 12.5% , and the depuratory group was 2.4% , （Х^2 = 9. 258, P = 0. 002）. The difference was significant. Conclusion The infection of incisional wound in cervical part is the primary cause of stoma fistula in cervical part of esophageal carcinoma.