食管癌患者术后并发症防治的临床观察

Clinical Observation on the Prevention and Treatment of Postoperative Complications in Esophagus Carcinoma Patients

目的:探讨食管癌患者手术后并发症的病因及防治措施。方法:回顾性分析235例食管癌切除术后不同并发症患者的临床资料,总结主要并发症及发生原因,并总结经验教训,探讨食管癌患者术后肺部并发症的防治措施。结果:本组235例食管癌患者,食管癌根治术后主要并发症发生率为21.70%(51/235),其中肺部并发症占16.17%(38/235),吻合口瘘占3.40%(8/235),乳糜胸占1.28%(3/235),脓胸占0.85%(2/235)。并发症的死亡率为0.85%(2/235)。结论:食管癌术后并发症以肺部并发症和吻合口瘘为主,且为术后并发症导致死亡的主要原因。做好术前准备,治疗术前合并疾病,严格规范手术操作,是预防并发症的主要措施。

Objective：To explore the causes and control measures of postoperative complications in esophagus carcinoma patients.Method：The clinical data of 235 esophagus carcinoma patients who showed different postoperative complications were retrospectively analyzed.Result：The incidence of the complications was 21.70%（51/235）.The main complications were as follows：pulmonary complications was 16.17%（38/235）,anastomotic leak was 3.40%（8/235）,chylothorax was 1.28%（3/235）and empyema was 0.85%（2/235）.The hospital mortality rate was 0.85%（2/235）.Conclusion：The major complications following radical sugery for esophageal carcinoma are pulmonary complications and anastomotic leak. They are also the main death causes. Making a good preoperative preraration,treating the preoperative complications and standarding the operative procedure are the critical measures of preventing the complications.