CAJ | 학술논문

目的：研制新型微冲洗管，探讨其在食管癌术后瘘伴脓胸中应用的可行性。方法：2012年1月—2014年12月复旦大学附属中山医院收治的5例食管癌术后瘘伴脓胸患者接受了新型微冲洗管治疗，其中男性4例，女性1例；左进胸食管癌根治术3例，右胸腹两切口食管癌根治术2例；4例为吻合口瘘，1例为残端瘘。将麻醉用硬膜外导管、双套管接头以及水封瓶接头组装成微冲洗管。沿胸腔引流管置入微冲洗管，达脓腔。结果：在冲洗过程中，2例患者出现与冲洗相关的咳嗽及返酸，未发生严重不良反应。5例患者的瘘口痊愈，拔管后顺利出院。结论：新型微冲洗管在食管癌术后瘘伴脓胸中应用是安全可行的。
목적：연제신형미충세관，탐토기재식관암술후루반농흉중응용적가행성。방법：2012년1월—2014년12월복단대학부속중산의원수치적5례식관암술후루반농흉환자접수료신형미충세관치료，기중남성4례，녀성1례；좌진흉식관암근치술3례，우흉복량절구식관암근치술2례；4례위문합구루，1례위잔단루。장마취용경막외도관、쌍투관접두이급수봉병접두조장성미충세관。연흉강인류관치입미충세관，체농강。결과：재충세과정중，2례환자출현여충세상관적해수급반산，미발생엄중불량반응。5례환자적루구전유，발관후순리출원。결론：신형미충세관재식관암술후루반농흉중응용시안전가행적。
Objective:To explore the feasibility of the newly developed micro‐irrigation tube in the application to fistula complicated with empyema after esophagectomy .Methods:From Jan 2012 to Dec 2014 ,5 patients with fistula complicated with empyema after esophagectomy ,admitted in Zhongshan Hospital ,Fudan University ,accepted the therapy with a new type of micro‐irrigation tube .Among them ,4 patients were male and the other 1 was female .Three patients accepted left transthoracic esophagectomy and the other 2 underwent right thoracoabdominal esophagectom .Four patients got anastomotic stoma fistula , and the other 1 patient got stump fistula .The micro‐irrigation tube was composed of anesthesia epidural catheter ,double pipe joint and bottle water seal joint .Along the chest dralnage tube ,the micro‐irrigation tube was placed into the empyema cavity . Results:There was no serious adverse reaction except for the symptoms of cough and acid reflux in 2 patients .All the 5 patients were discharged smoothly with fistula healed and chest tube drawn .Conclusions:The application of micro‐irrigation tube in fistula complicated with empyema after esophagectomy is safe and feasible .