结肠重建食管治疗食管腐蚀伤后疤痕狭窄  

Colonic Interposition for treatment of Esophageal Scar Stricture Following Corrosive Injuries

作　　者：蒋耀光[1] 范士志[1] 王如文[1] 向杰[1] 

机构地区：[1]第三军医大学大坪医院胸外科,重庆630042

出　　处：《中华创伤杂志》1993年第1期24-26,共3页Chinese Journal of Trauma

摘　　要：本组30例食管腐蚀伤后疤痕狭窄采用结肠重建食管,其中29例经胃或空肠造口维持营养,于伤后至少半年手术,采用左半结肠移植24例,右半结肠5例,记录不详1例。术后死亡2例,死亡率为6.7%。我们对重庆地区碱性腐蚀伤常见的原因及手术进行了讨论,并介绍了2例吻合狭窄采用颈阔肌皮瓣成形取得成功的经验。The paper presents the experience of colonic interposition for scar stricture of the esophagus caused by corrosive injures in 30 cases in the past ten years. The caustic agent was lye in 27 cases (90) and acid in 3 cases (10%), in them two patients had severe gastric lesion. All cases were treated by the substernal colonic interposition procedure. The anastomotic sites were in the neck in 26 cases and in the pharynx in 4 cases. In this series transplantations with left part of colon were in 24 cases and right part of colon in 5 cases, and one case was undiscribable. There were 17 postoperative complications (56.7%) and two postoperative deaths. The commonest complication was cervical fistula (7 cases, 23.3%) and the most critical complication was part or complete necrosis (2 cases), one death was directly related to it. The most frequent cause of lye ingestion in Chongqing area and successful repair of anastomotic stenosis with flap of platysma myoides are also discussed in this paper.

关 键 词：结肠重建食管 食管腐蚀伤 狭窄 

分 类 号：R655.405[医药卫生—外科学]