一期胃代下咽、食道治疗下咽、颈段食道癌术后并发症的探讨

Complication of the one-stage esophagus replacement with stomach for curing hypopharyngea neoplasms and cervical esophageal neoplasms

目的探讨一期胃代下咽、食道治疗下咽、颈段食道癌术后并发症的原因和防止方法。方法对我院1993年10月至1996年2月收治的38例一期胃代下咽、食道治疗下咽、颈段食道癌手术的病人进行回顾性的分析。结果术后发生各类并发症10例，其中咽瘘3例（7．89％），吻合口狭窄2例（5．26％），反流1例（2．63％），胸腔积气、积液2例（5．26％），喉返神经麻痹1例（2．63％），肺部粟粒样肿瘤转移1例（2．63％）。结论术前做好充分思想准备、术中操作仔细与术后加强营养及护理是防止或减少并发症的主要措施。

Objective To study the cause of the complications of the one-stage esophagus replacement with stomach for curing hypopharyngeal neoplasms and cervical esophageal neoplasms and to discuss its prophylaxis and treatment. methods 38 cases of hypo pharyngeal neoplasms and cervlcal esophageal neoplasms cured by esophagus replacement with stomach from Oct. 1993 to Feb. 1996, were restrospectively studied.Results The oldest one was 69 and the youngest was 34 years old ,There were 10 cases with various complications after operation: 3 cases with pharyngo-fistula (7. 89% ), 2cases with anastomosis stricture anastomosis (5. 26% ),1 case with reflus (2.63 % ), 2 cases with pneumohydrothOrax (5.26 %), 1 case with recurrent larnygeal neuroparalysis (2. 63% ), 1 case with miliary matastasis to lung (2. 63% ). Conclution It suggests that the operation should be performed carefully with comprehensive preoperative preparations postoperative nutrition and nursing.