食管癌及食管胃交界部癌胃管状成形术后吻合口瘘12例保守治疗方法的探讨

Conservative Treatment for 12 Cases of Anastomotic Fistula after Gastric Tubular Angioplasty for Esophagus Cancer and Esophagogastric Junction Cancer

目的:探讨食管癌及食管胃交界部癌胃管状成形术后颈部、胸部吻合口瘘和腹部膈下吻合口瘘保守治疗的效果。方法:对2009年9月至2011年8月对389例食管癌及食管胃结合部癌胃管状成形术后发生吻合口瘘12例患者给予保守治疗。结果:颈部吻合口瘘3例,3周～4周治愈出院;胸内吻合口瘘8例,1月～3月治愈出院;腹部膈下吻合口瘘1例治愈出院。治愈率100%,无死亡病例。结论:食管癌及食管胃交界部癌胃管状成形术后吻合口瘘,保守治疗安全,疗效明显值得临床推广。

Objective： To explore the efficacy of conservative treatment for anastomotic fistula oecured after gastric tubular an- gioplasty for esophagusc cancer and esophagogastric junction cancer. Methods： Three hundred and eighty-nine patients suffering from anastomotic leakage after gastric tube reconstruction for esophageal and esophagogastric junction cancer from September 2009 to August 2011 were treated by conservative method. Results： Anastomoties fistula occurred in 12 cases. Three cases of cervical anastomotic fis- tula were cured in 3 - 4 weeks, eight intrathoraeie fistula were cured within 1 - 3 months, one subphrenic anastomotie fistula was cured. Conclusion： Conservative treatment was a safe and effective method to cure anastomotie fistula oecured after gastric tubular an- gioplasty.