食管癌胃代食道吻合口瘘原因分析及预防  

Analysis on the Causes and Prevention of Postoperative Anastomotic Fistula in Esophageal Carcinoma Patients

作　　者：崔少罡[1] 陈维静[1] 崔示德[1] 白玲[1] 

机构地区：[1]解放军264医院,030001

出　　处：《山西职工医学院学报》1999年第1期6-8,共3页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的:分析食管癌术后吻合瘘的原因,探讨综合预防措施。方法:统计1978年5月～1998年5月20年中,17例食管癌术后吻合瘘每5年发生例数分布。结果:本组食管癌术后吻合瘘病例,前10年13例,近10年4例;其发生率分别为5.73％(13/227)和1.17％(4/324),有逐年下降趋势。这与围手术期处理的完善、手术方式的改进及对可疑、好发瘘病人的特别关注有密切关系。结论:相对固定(程序化)的综合处理方法,在降低食管癌术后的吻合口瘘发生率方面意义重大。Objective:To find out the causes of postoperative anastomotic fistula and explore the measures for prevention. Methods: 17 cases of postoperative anatomosing fistula from May 1978 to May 1998 were analysed. Results: There were 13 cases in the first ten years and 4 cases in the second . The incidence of anastomosing fistula was 5.73% (13/227)and 1.17% (4/342), respectively. It was falling year by year , which was associated with measures of peroperative period , improvement of operative manner and special attention to high - risk patients. Conclusion; Relative fixed routine of universal prevention was significant in reducing the incidence of postoperative anastomosing fistula of esophageal carcinoma .

关 键 词：食管癌 吻合口瘘 预防 

分 类 号：R735.1[医药卫生—肿瘤]