医源性食管穿孔的外科治疗分析  

Surgical treatment of iatrogenic esophageal perforation

作　　者：陈子清[1] 梁建辉[1] 温艺超[1] 

机构地区：[1]广州医学院第二附属医院胸心外科,广东广州510260

出　　处：《国际医药卫生导报》2008年第5期44-46,共3页International Medicine and Health Guidance News

摘　　要：目的探讨医源性食管穿孔的诊断和外科治疗。方法回顾性分析1989～2007年我院收治的8例医源性食管穿孔病历资料，其中发生于颈段食管穿孔3例，胸段食管穿孔5例；行食管裂口手术修补术5例，保守治疗3例；并结合文献复习进行分析。结果手术治疗5例均获得痊愈，治愈率100％；保守治疗3例，1例死亡，治愈率66．7％。结论早期诊断和合适的治疗措施是提高本病治愈率，降低死亡率的关键。Objective To investigate the diagnosis and surgical treatment of iatrogenic esophageal perforation. Methods Retrospective analysis was made in 8 cases of iatrogenic esophageal perforation hospitalized form 1989 to 2007 in our hospital, among with 3 occurred at cervical segment, 5 at thoracic segment. Surgical repair of esophageal perforation in 5 cases and conservative treatment in 3 cases, and reviewed literatures to analyze. Results Surgical treatment in 5 cases, all have been recovered from disease, the recovery rate was 100%; conservative treatment in 3 cases, 1 case died, the recovery rate was 66.7%.Conclusion In order to increase the recovery rates and decrease the mortality, it is important to diagnose in its early phases and suitable treatment the disease.

关 键 词：食管穿孔 医源性损伤 早期诊断 

分 类 号：R65[医药卫生—外科学]