食管化学烧伤后消化道重建吻合位置的选择  

Selection of the anastomosis site for digestive tract reconstruction after esophageal chemical burns

作　　者：聂志浩 范青禄 华清泉[1] 黄杰[1] 谢颂平[1] NIE Zhihao;FAN Qinglu;HUA qingquan;HUANG Jie;XIE Songping(Department of Thoracic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院胸外科,430060

出　　处：《临床外科杂志》2025年第2期208-209,共2页Journal of Clinical Surgery

摘　　要：食管化学烧伤后瘢痕狭窄是常见且复杂的临床问题;依据Zargar分级标准,Ⅲ度烧伤病人中约90%、Ⅱ度烧伤病人中15%~30%会发展为食管或幽门狭窄。根据食管狭窄状况制订个性化治疗策略尤为重要。本文聚焦于食管化学烧伤后食管重建时吻合口位置的选择,并总结了围术期间术前评估以及手术时机。总体而言,食管化学烧伤后食管瘢痕狭窄的治疗策略强调个性化治疗,应充分考虑狭窄的部位、程度及范围,并选择最适宜的手术方式,以期达到最佳的治疗效果。Esophageal scar stenosis following chemical burns is a common and complex clinical issue.According to the Zargar classification,approximately 90%of patients with third-degree burns and 15%-30%of those with second-degree burns will develop esophageal or pyloric stenosis.Personalized treatment strategies tailored to the specifics of esophageal stenosis are particularly important.This review focuses on the selection of anastomotic sites during esophageal reconstruction following chemical burns and summarizes perioperative evaluations and timing of surgery.Overall,the treatment strategy for esophageal scar stenosis emphasizes personalized medicine,taking into account the characteristics of the stenosis and carefully selecting the most suitable surgical approach to achieve optimal therapeutic outcomes.

关 键 词：食管化学烧伤 狭窄 上消化道重建 吻合位置 

分 类 号：R73[医药卫生—肿瘤]