摘要
目的:探讨降低食管贲门癌术后吻合口瘘发生率的办法。方法:总结分析58例食管贲门癌术后吻合口瘘患者的术前临床资料、手术方式、吻合口瘘的临床表现、处理办法、治疗结果。结果:58例吻合口瘘患者中死亡7例,死亡率12.1%。结论:(1)食管胃游离和吻合技巧是影响术后吻合口瘘发生的主要因素之一;(2)感染和营养不良是导致病人死亡的重要原因;(3)三管疗法(胸管、胃管、营养管)与正确及时的再次手术是吻合口瘘治疗成功的关键。
Objective： To investigate how to depress anastomotic leakage incidence after operation of esophagus and cardia carcinorna, Methods： Preoperative data, surgical approach, clinical manifestations of leakage, treatment approaches and outcomes of 58 patients with esophageal and cardia carcinoma were analyzed. Results： Among 58 cases of anastomotic leakage, seven patients died. Mortality rate was 12.1%. Conclusion： （1） Dissociation and anastomosis skills of esophagus and stomach are one of the main factors affecting leakage occurring; （2）Infections and malnutrition are important causes leading to death; （3）3 - tube therapy（chest tube,stomach tube, feeding tube） and immediate re - operation are the key to treatment success for patient with anastomotic fistula.
出处
《海军医学杂志》
2009年第4期313-315,共3页
Journal of Navy Medicine
关键词
食管癌
贲门癌
吻合口瘘
esophageal carcinoma
cardia carcinoma
anastomotic leakage
