食管癌术后吻合口瘘20例临床分析  

作　　者：李亮星[1] 崔刘宝[1] 樊长胜[1] 齐拥军[1] 

机构地区：[1]北京大学首钢医院胸外科,100041

出　　处：《中国实用医药》2008年第15期104-105,共2页China Practical Medicine

摘　　要：目的探讨食管癌术后吻合口瘘的治疗。方法1993年11月至2007年11月手术治疗食管贲门癌472例,均为胸内吻合,发生食管胃吻合口瘘17例,发生率3·6%,外院转入3例。在抗感染、静脉营养治疗同时,进行充分胸腔引流、冲洗,结合空肠造瘘、支架封堵等治疗。结果治愈14例,死亡6例。结论抗感染、静脉营养支持治疗,充分有效的胸腔引流、冲洗以及空肠造瘘对治疗相当重要。Objective To evaluate the therapy of anastomotic leakage after upper digestive tract reconstruction. Methods Present a retrospective review of 472 patients with carcinoma of esophagus and cardia from Nov 1998 to Nov 2007,they were anastomosed in chest all, anastomotic leakage occurred in 17 case with a rate of 3.6% , 3 cases came from outside. Progressing wash and stream through thorax canal, linking fistula and bracket of jejunum,resisting infection and alimentation via vein simultaneity. Results 14 patients were cured,6 patients were died. Conclusion these methods were very importance.

关 键 词：食管癌 吻合口瘘 治疗 

分 类 号：R735.1[医药卫生—肿瘤] R459.3[医药卫生—临床医学]