高位胸腔冲洗在治疗食管癌切除术后胸内吻合口漏中的应用

Application of high thoracic washing in treating leakage of thoracic esophageal anastomosis

目的探讨高位胸腔冲洗在食管癌切除术后胸内吻合口漏中的临床应用价值。方法对 16例食管癌切除术后胸内吻合口漏在传统的保守治疗方法上加行高位胸腔冲洗治疗。结果治愈 13例 ,治愈率为 81.2 5 % ,平均住院 46天 ,1例治疗中死于大呕血 ,1例死于肺部感染、呼吸循环衰竭 ,另 1例放弃治疗自动出院。结论高位冲洗疗效可靠 ,操作简单 ,创伤小 。

Objective To evaluate the clinical value of high thoracic washing in leakage of thoracic esophageal anastomosis.Methods 16 cases of anastomosis leakage after esophageaoctomy were treated with high thoracic washing.Results 13 of 16 patients were cured,with a cure rate of 81.25% and the average hospital time of 46 days.One patient died of bleeding and one died of lung infection and respiratory failure.The other one gave up therapy and discharged selfishly.Conclusion High thoracic washing in treating leakage of thoracic esophageal anastomosis is a reliable way with effect,simple procedure and less complication