食管癌术后吻合口瘘(附38例报告)  

Anastomotic Leakage after Esophagectomy for Esophageal Carcinoma

作　　者：徐海洋[1] 赵永茂 张熙曾[3] 刘亦庸 白人华[3] 齐大亮[3] 

机构地区：[1]湖北省肿瘤医院胸科 [2]内蒙古乌海市人民医院外科 [3]天津市肿瘤医院胸科

出　　处：《中国肿瘤临床》1992年第3期187-189,共3页Chinese Journal of Clinical Oncology

摘　　要：本文总结了我院31年间胸科540例食管癌切除术后并发吻合口瘘38例的临床总结分析,发生率为7％,治愈好转28例,占73.6％,提出了吻合口痿的发生原因,在中晚期吻合口瘘中提出保守治疗的措施,充分引流是治疗的关健,营养疗法是治疗的基础。另外也提出早期吻合口瘘二次进胸再次吻合。总之,精细吻合技巧,熟练轻柔的操作,防止术中污染、纠正术前的营养不良状态,严格遵守组织愈合的理论原则,是预防吻合口痿的重要因素。Of 540 esophagectomies for esophageal carcinoma,anastomotic leakage occurred in 38 (7%).Conservative treatment was undertaken in those of middle or advanced phase of leakage.Ample drainage and nutritional supplement were essential under such circumstances.In the early phase of leakage,re-anastomosis was recommended.Careful manipulation of the anastomosis,protection against surgical contamination and correction of undernourishment status before operation were important factors conducive to prevention of anastomotic leakage.

关 键 词：食管肿瘤 手术 吻合口瘘 

分 类 号：R735.106[医药卫生—肿瘤]