12例颈部食管穿孔的治疗对策

Treatment of cervical esophageal perforation

目的：探讨颈段食管穿孔的诊断及治疗方法，并提高临床诊疗水平。方法：报道12例颈段食管穿孔患者的临床资料，并结合文献进行分析。结果：12例患者中8例采用手术修补食管穿孔，手术修补成功率为100％，随访6个月～10年，无一例复发或发生食管狭窄，4例患者经及时有效的保守治疗，食管穿孔愈合，本组患者治疗疗效良好。结论：颈段食管穿孔极易发生严重并发症，临床死亡率较高，预后差，积极有效的治疗能提高患者的生存率。

Objective：To investigate the repair of cervical esophageal perforation using cervical muscle flap and provide a new material of esophageal perforation repair. Method：To report 12 cases of cervical esophageal perforation among which 8 cases was repaired using cervical muscle flap. Result： 100% success rate of surgical repair was observed with all 12 cases. No case of recurrence or esophageal stricture occurred by follow up six months to 10 years. Conclusion： Traumatic cervical esophageal perforation easily had serious complications, with high mortality rates and the prognosis was poor. Early intervention of surgical repair could improve the survival rate of patients.