食管穿孔的外科诊治

Diagnosis and surgical treatment of esophageal perforation

目的 探讨食管穿孔的诊断和外科治疗方法。方法 回顾分析 1975～ 2 0 0 1年我科收治的食管穿孔 2 1例病历资料。结果 本组病例行单纯食管修补术 10例 ,7例行颈部、纵隔或胸腔引流术 ,4例保守治疗。治愈 15例 ,治愈率 71.5 % ,死亡 6例 ,死亡率 2 8.5 %。结论 早期诊断采取正确处理是提高本病疗效 ,降低死亡率的关键。

Objective This report was based on researching the diagnosis and surgical treatment of esophageal perforation.Methods 21 cases of esophageal perforation were reviewed and analyzed from 1975 to 2001.Results 10 cases of patients admitted repairing esophagus,7 cases drained in neck,chest or mediastinum,4 cases conservative treatment.15 patients discharged,6 cases died.( 28.5%).Conclusion Early diagnosis and appropriate surgical treatments are critical to increase the curative effect and reduce the mortality in hospital.