摘要
目的探讨老年食管癌患者术后吻合口瘘相关因素，为临床防治提供依据。方法选择浙江大学医学院附属第一医院胸外科201i年1月至2016年1月老年食管癌手术病例636例中吻合口瘘病例56例，其中男39例，女17例，男女比例2．3：1．0，年龄60-81岁，平均（66．4±8．6）岁。对其进行回顾性分析，总结老年肿瘤患者吻合口瘘相关因素。结果56例吻合口瘘病例中有激素服用史10例（17．9％）；术前放化疗17例（30．4％）；有基础疾病史32例（57．1％）；术前合并营养不良27例（48．2％）；本组患者除老年和肿瘤外又合并激素服用史、术前营养不良、术前放化疗等多项危险因素，成为吻合口瘘高危人群。结论对具有慢性病、激素服用史、术前营养不良、术前放化疗等危险因素的老年肿瘤患者的吻合口瘘预防和治疗需高度重视。
Objective To investigate the risk factors for postoperative anastomotic leakage in geriatric patients with esophageal carcinoma and provide new insights into clinical prevention and treatment. Method The fifty-six patients with anastomotic fistula were chosen from 636 esophageal carcinoma patients who underwent esophagectomy in Department of Thoracic Surgery from January 2011 to January 2016. In the 56 patients, the ratio of male （39 cases） to female （17 cases） was 2.3 1.0, with the age range of 60 - 81 years, average of （66.4±8.6） years. The retrospective analysis was performed for obtaining the risk factors for anastomotic leakage. Results Fifty six cases who
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2016年第8期876-879,共4页
Chinese Journal of Geriatrics
关键词
食管肿瘤
食管瘘
危险因素
Esophageal neoplasms
Esophageal fistula
Risk factors
