摘要
目的探讨食管切除术后胸内吻合口漏的病因、治疗及预防。方法412例食管切除术中15例发生吻合口漏,9例行非手术治疗,6例行手术治疗。结果行非手术治疗的9例吻合口漏中,7例治愈,2例死亡;行手术治疗的6例中,3例治愈,2例死亡,1例放弃治疗自动出院。结论食管切除术后胸内吻合口漏死亡率高,积极采取防范措施可降低吻合口漏的发生率。
Objective To evaluate the etiological factor, diagnosis, treatment and prevention of anastomotic leakage in thoracic cavity after esophagectomy. Methods There were 15 cases with anastomotic leakage after 412 cases with esophagectomy 9 of 15 patients were treated with non-operation, 6 of 15 patients were treated with operation. Results 7 of 9 cases with non-operation were cured, 2 cases were died; 3 of 6 cases with operation were cured, 2 cases were died and 1 case was discharged voluntarily after giving up therapy. Conclusion The mortality rate of anastomotic leakage in thoracic cavity after esophagectomy is higher, and the appropriate therapy may reduce the incidence of anastomotic leakage.
出处
《广州医药》
2005年第6期20-21,共2页
Guangzhou Medical Journal
关键词
食管切除
吻合口漏
病因
诊断
治疗
Esophagectomy
Anastomotic leakage
Etiological factor
Diagnosis
Treatment
