围手术期标准化流程预防食管癌及贲门癌术后吻合口瘘和胸胃瘘的效果  

Effect of perioperative standardized procedure in preventing anastomotic fistula and thoracic gastric fistula after resection of esophageal carcinoma and cardial carcinoma

作　　者：毕泗允 BI Si-yun(Thoracic Surgery Department, Juye County People's Hospital, Heze 274900, China)

机构地区：[1]山东省巨野县人民医院胸外科

出　　处：《临床医学研究与实践》2019年第29期44-46,52,共4页Clinical Research and Practice

摘　　要：目的探讨围手术期标准化流程预防食管癌及贲门癌术后吻合口瘘和胸胃瘘的效果。方法回顾性分析我科229例食管癌及贲门癌术后吻合口瘘和胸胃瘘患者的临床资料,将2011年2月至2015年7月实施围手术期标准化“三时三点”流程前的108例食管癌及贲门癌术后吻合口瘘和胸胃瘘患者作为非标准化流程组,将2015年8月至2018年7月实施围手术期标准化“三时三点”流程后的121例食管癌及贲门癌术后吻合口瘘和胸胃瘘患者作为标准化流程组,比较2011年2月至2015年7月实施围手术期标准化“三时三点”流程前及2015年8月至2018年7月实施后的吻合口瘘和胸胃瘘发生率。结果非标准化流程组术后吻合口瘘患者7例,胸胃瘘患者2例,标准化流程组术后吻合口瘘患者2例,无胸胃瘘患者;标准化流程组的术后吻合口瘘和胸胃瘘发生率低于非标准化流程组(P<0.05)。结论围手术期标准化“三时三点”流程可有效预防食管癌及贲门癌术后吻合口瘘和胸胃瘘的发生。Objective To explore the effect of perioperative standardized procedure in preventing anastomotic fistula and thoracic gastric fistula after resection of esophageal carcinoma and cardial carcinoma. Methods The clinical data of 229 patients with anastomotic fistula and thoracic gastric fistula after resection of esophageal carcinoma and cardial carcinoma in our department were retrospectively analyzed. A total of 108 patients with anastomotic fistula and thoracic gastric fistula after resection of esophageal carcinoma and cardial carcinoma before the implementation of perioperative standardized "preoperative, intraoperative and postoperative general state, lung expansion and gastrointestinal emptying function" procedure from February 2011 to July 2015 were selected as non-standardized procedure group, while 121 patients with anastomotic fistula and thoracic gastric fistula after resection of esophageal carcinoma and cardial carcinoma after the implementation of perioperative standardized "preoperative, intraoperative and postoperative general state, lung expansion and gastrointestinal emptying function" procedure from August 2015 to July 2018 were selected as standardized procedure group. The incidence of anastomotic fistula and thoracic gastric fistula before the implementation of perioperative standardized "preoperative, intraoperative and postoperative general state, lung expansion and gastrointestinal emptying function" procedure from February 2011 to July 2015 and after the implementation of standardized procedure from August 2015 to July 2018 was compared. Results There were 7 patients with anastomotic fistula and 2 patients with thoracic gastric fistula in the non-standardized procedure group, there were 2 patients with anastomotic fistula and no patients with thoracic gastric fistula in the standardized procedure group;the incidence of anastomotic fistula and thoracic gastric fistula in the standardized procedure group was lower than that in the non-standardized procedure group (P<0.05). Conclusion Periope

关 键 词：食管癌 贲门癌 吻合口瘘 胸胃瘘 围手术期标准化流程 

分 类 号：R735[医药卫生—肿瘤]