摘要
目的:探讨食管穿孔的诊断、临床特征与外科治疗方法。方法:回顾分析1999年—2009年我院收治的食管穿孔22例。结果:本组病例4例保守治疗,2例行颈部脓肿切开引流,8例行单纯食管穿孔修补术,3例行纵隔及胸腔脓肿清除术并引流,1例行食管下段切除、胃代食管弓上吻合术,2例行食管修补并肺叶切除,2例行空肠双管造瘘加纵隔胸腔引流,2例因经济原因放弃治疗出院。治愈19例,治愈率86.3%,死亡1例,死亡率4.5%。结论:早期诊断和及时采取正确的处理措施是提高本病治愈率,降低死亡率的关键。
Objective：To study the diagnosis and surgical treatment of esophageal perforation so as to improve the levels of intervention.Method：22 cases of esophageal perforations from November 1999 to November 2009 were reviewed.Result：Treatment options ranged from aggressive surgery to conservative management.Conservative treatment was performed in 4 cases,cervical drainage in 2 cases,repair of esophageal perforation in 8 cases,mediastinum and chest removal and drainage in 3 cases,esophagectomy with the gastroe-sophagostomy in 1 cases,esophageal repair and bectomy in 2 cases,jejunal double pipe made fistula and mediastinum chest drainage in 2 cases.19 cases recovered from the disease,making up 86.3% the mortality while was 4.5%.Conclusion：In order to increase the recovery rates and decrease the mortality,it is important to diagnose and treat the disease in its early phases.
出处
《现代生物医学进展》
CAS
2010年第10期1935-1937,共3页
Progress in Modern Biomedicine
关键词
食管穿孔
诊断
治疗
Esophageal perforation
Diagnosis
Treatment
