食管癌术后吻合口瘘的治疗  

Therapeutic of anastomotic lenkage in post-esophagogastrectomy

作　　者：黄春旭 李瑞华[2] 肖敬东 陈小伍[2] 张克强[2] 曾智豪[2] 李静[2] 范丽娟[2] 

机构地区：[1]河源市中医院外科,广东省河源517000 [2]广东省佛山市顺德区第一人民医院外科

出　　处：《中国基层医药》2009年第6期1013-1014,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨食管癌术后吻合口瘘的治疗。方法对127例食管癌术后吻合口瘘18例进行回顾性分析。其中第一阶段67例发生吻合口瘘10例，肠内营养支持疗法一般以米汤、鱼汤、肉汤等为主；第二阶段60例吻合口瘘8例，其肠内营养使用整蛋白型肠内营养剂（瑞能、瑞素）为主。结果第一阶段10例吻合口瘘中有6例死亡，病死率占60％；第二阶段吻合口瘘8例，无一例发生死亡。结论早期诊断早期治疗，以及选用整蛋白型肠内营养剂肠内营养支持疗法可提高食管癌吻合口瘘的治愈率。Objective To study the therapeutic of anastomotic leakage in post-esophagogastrectomy. Methods There were 18 cases of anastomotie leakage in 127 cases with cancer of the thoracic esophagus who underwent esophagectomy were retrospectively studied. There were ten cases had anastomotic leakage of 67 cases of esophagogastreetomy from 1995 to 2001 （ first phase）, the intestines nutrition sustain treatment taked rice water, fish soup and broth, there were eight cases had anastomotic leakage of 60 cases of esophagogastrectomy from 2002 to 2007 （ second phase） ,the intestines nutrition sustain treatment taked supportan,fresubin. Results There were six eases death of 10 eases of anastomofie leakage at first phase, and there was any not death in the second phase. Conclusion When anastomotie leakage of esophagogastrectomy, it can elevate the cure rate with early diagnosis and treatment and intestines nutrition sustain treatment choose by supportan or fresubin.

关 键 词：食管癌 吻合口瘘 肠内营养 支持疗法 

分 类 号：R735[医药卫生—肿瘤]