摘要
目的探讨食管癌、贲门癌切除术后胸内吻合口及胸胃瘘的合理治疗方法。方法回顾1369例食管癌、贲门癌切除术后病人的临床资料,总结胸内吻合口瘘及胸胃瘘的正确处理方法。结果全组共发生胸内吻合口及胸胃瘘25例,其中吻合口瘘19例,胸胃瘘6例,总发生率为2.0%,死亡率为28.0%。行保守治疗19例,死亡5例,死亡率为26.3%;行二次开胸6例,死亡2例,死亡率为33.3%。结论胸内吻合口瘘及胸胃瘘是食管重建术后严重的并发症,综合应用静脉高价营养和胃肠内营养等治疗手段是处理胸内瘘的有效的保守治疗方法。
Objective To explore the rational therapy of anastomotic and thoracic gastric fistula after the resection of esophageal carcinoma and cardial carcinoma. Methods A retrospecive analysis was compiled of 1 369 patients undergoing the resection of esophageal carcinoma and cardial carcinoma and reconstruction. Results The intrathoracic anastomotic fistula and thoracic gastric fistula occurred in 25 patients with an overall incidence of 2.0% and an overall mortality of 28.0%. Among them intrathoracic anastomotic fistula was in 19 patients, thoracic gastric fistula in 6. Five patients died and 14 were cured in the conservative treatment group with a mortality of 26.3%. Two patients died in the reanastomosis treatment group with a mortality of 33.3%. Conclusion Anastomotic and thoracic gastric fistula is considered to be one of the most serious complications after esophageal reconstruction. Combined application of total parenteral nutrition and enteral nutrition is the suitable non-traumatic therapy.
出处
《局解手术学杂志》
2005年第3期151-152,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
食管癌
贲门癌
吻合口瘘
胸胃瘘
临床处理
esophageal carcinoma
cardial carcinoma
anastomotic fistula
thoracic gastric fistula
clinical procedure
