食管癌术后迟发型吻合口瘘诊治体会

Diagnosis and Treatment Experience of the Late-onset of Anastomotic Leakage after Esophagus Cancer Surgery

目的:分析食管癌术后吻合口瘘的诊治及预防措施。方法:回顾性分析2007年9月始收治的522例食管癌切除术患者的临床资料,探讨吻合口漏的诊断、治疗及预防。结果:24例于术后7～12 d发生吻合口漏,均属迟发型。24例患者均采用胸腔引流、控制感染、加强营养等方法保守治疗,其中22例治愈,2例死亡。结论:食管癌术一旦发生吻合口瘘,采取有效的措施能显著地减少病人的病死率。

Objective： To analyze diagnosis,treatment and prevention of anastomotic leakage after esophageal operation.Methods： The clinical data of 522 cases of esophageal operation from September 2007 to the present were retrospectively analyzed to explore the diagnosis,treatment and prevention of anastomotic leakage.Results： 24 cases developed anastomotic leakage 7-12 days after operation,which are the late-onset ones.Such conservative therapies were adopted as abdominal cavity drainage,infection control and adequate nutrition in all 24 cases,with 22 cases completely cured and 2 cases dead.Conclusion： The death rate can be remarkably reduced by taking effective curative measures once anastomotic leakage occurs after esophageal operation.