食管癌贲门癌术后早期胸内消化道瘘的外科治疗5例报告  

The Surgical Treatment for the Fistula of Thoracic Anastomesis in Early Stage Postoperation of Esophageal and Cardiac cancer5 Caces report

作　　者：屈大望[1] 孙承军[1] 苏延军[1] 张熙曾[1] 张振[1] 魏键[1] 白人华[1] 王家录[1] 高计林[1] 

机构地区：[1]天津医科大学附属肿瘤医院胸科,300060

出　　处：《肿瘤防治研究》2001年第1期46-47,共2页Cancer Research on Prevention and Treatment

摘　　要：目的　总结探讨食管癌贲门癌手术后早期发生消化道瘘 (即 72 h之内 )的治疗方法。方法　本组报告 5例早期发生胸内消化道瘘病历 ,均采取二次剖胸探查 ,重新吻合或瘘口处修补方法解决消化道瘘。结果　 5例中 4例治愈出院 ,1例术后并发呼吸衰竭死亡。结论　食管癌贲门癌手术后早期发生消化道瘘病人应采用手术为应急措施。Objective The surgical treatment method that deals with the fistula of thoracic anastomosis in early stage(less than 72 hours)post operation of esophageal and cardiac cancer was summarized and discussed.Methods 5 cases of intrathoracic fistulas were performed the second thoractomy to treat the leakage of the gastric tract.Results In this group of patients,4 cases recovered and 1 case died because the complication of respiratory failure.Conclusion We concluded that the prompt surgical treatment is needed for the fistula of thoracic in early postoperation of esophageal and cardiac cancer.

关 键 词：食管癌 贲门癌 早期胸内消化道瘘 二次剖胸手术 

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