CAJ | 학술논문

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.
목적 탐토식관암술후문합구루적치료.방법 대127례식관암술후문합구루18례진행회고성분석,기중제일계단67례발생문합구루10례,장내영양지지요법일반이미탕、어탕、육탕등위주;제이계단60례문합구루8례,기장내영양사용정단백형장내영양제(서능、서소)위주.결과 제일계단10례문합구루중유6례사망,병사솔점60%;제이계단문합구루8례,무일례발생사망.결론 조기진단조기치료,이급선용정단백형장내영양제장내영양지지요법가제고식관암문합구루적치유솔.
Objective To study the therapeutic of anastomotic leakage in post-esophagogastrectomy. Meth-ods There were 18 cases of anastomotic 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 esophagogas-trectomy 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 cases death of 10 cases of anastomotic leakage at first phase, and there was any not death in the second phase. Conclusion When anastomotic leakage of esophagogastreetomy,it can elevate the cure rate with early diagncsis and treatment and intes-tines nutrition sustain treatment choose by supportan or fresubin.