中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
13期
24-26
,共3页
食管癌%贲门癌%大网膜%吻合口%吻合口瘘
食管癌%賁門癌%大網膜%吻閤口%吻閤口瘺
식관암%분문암%대망막%문합구%문합구루
Esophageal cancer%Cardiac cancer%Omentum majus%Anastomotic stoma%Anastomotic fistula
目的：探讨游离自体大网膜在预防食管癌贲门癌手术胃食管吻合口瘘方面的作用，为胃食管吻合口瘘提供预防措施。方法回顾性分析本院胸外科收治并手术治疗的食管贲门癌病例120例，所有病例术中均使用自体游离大网膜包裹食管胃吻合口。结果术后2例患者因意外损伤吻合口出现吻合口瘘，其余118患者均未出现吻合口瘘，顺利出院。结论游离自体大网膜能有效预防食管贲门癌术后胃食管吻合口瘘的发生。
目的：探討遊離自體大網膜在預防食管癌賁門癌手術胃食管吻閤口瘺方麵的作用，為胃食管吻閤口瘺提供預防措施。方法迴顧性分析本院胸外科收治併手術治療的食管賁門癌病例120例，所有病例術中均使用自體遊離大網膜包裹食管胃吻閤口。結果術後2例患者因意外損傷吻閤口齣現吻閤口瘺，其餘118患者均未齣現吻閤口瘺，順利齣院。結論遊離自體大網膜能有效預防食管賁門癌術後胃食管吻閤口瘺的髮生。
목적：탐토유리자체대망막재예방식관암분문암수술위식관문합구루방면적작용，위위식관문합구루제공예방조시。방법회고성분석본원흉외과수치병수술치료적식관분문암병례120례，소유병례술중균사용자체유리대망막포과식관위문합구。결과술후2례환자인의외손상문합구출현문합구루，기여118환자균미출현문합구루，순리출원。결론유리자체대망막능유효예방식관분문암술후위식관문합구루적발생。
Objective To investigate the effect of dissociative autologous omentum majus in prevention of gastroesophageal anastomotic fistula in surgery for esophageal cancer and cardiac cancer, so as to provide prevention measure for gastroesophageal anastomotic fistula.Methods A retrospecitve analysis was made on 120 cases with esophageal and cardiac cancer in chest surgery of our hospital, and all patients received dissociative autologous omentum majus to wrap gastroesophageal anastomotic stoma.Results There were 2 cases with anastomotic fistula after surgery due to accident injury on anastomotic stoma, and the other 118 cases had no anastomotic fistula and left the hospital.Conclusion Application of dissociative autologous omentum majus can effectively prevent gastroesophageal anastomotic fistula after esophageal cancer and cardiac cancer surgery.
