东南大学学报（医学版）
東南大學學報（醫學版）
동남대학학보（의학판）
JOURNAL OF SOUTHEAST UNIVERSITY(MEDICAL SCIENCE EDITION)
2015年
3期
404-406
,共3页
食管癌%吻合口瘘%并发症%治疗
食管癌%吻閤口瘺%併髮癥%治療
식관암%문합구루%병발증%치료
esophageal cancer%anastomotic leakage%complication%therapy
目的：探讨讨食管癌术后发生吻合口瘘的原因、诊断及治疗策略。方法：对于255例食管癌切除术术后食管胃吻合重建患者对的临床资料进行回顾性分析。结果：255例食管癌患者中胸腔内吻合204例，发生吻合口瘘10例，死亡2例；颈部吻合51例，颈部吻合口瘘5例，无1例死亡。结论：吻合口瘘发生原因很复杂，与手术操作、术式、残胃与食管的血运、胸腔感染及全身营养支持等因素有关。采取有效措施，可减少病死率。
目的：探討討食管癌術後髮生吻閤口瘺的原因、診斷及治療策略。方法：對于255例食管癌切除術術後食管胃吻閤重建患者對的臨床資料進行迴顧性分析。結果：255例食管癌患者中胸腔內吻閤204例，髮生吻閤口瘺10例，死亡2例；頸部吻閤51例，頸部吻閤口瘺5例，無1例死亡。結論：吻閤口瘺髮生原因很複雜，與手術操作、術式、殘胃與食管的血運、胸腔感染及全身營養支持等因素有關。採取有效措施，可減少病死率。
목적：탐토토식관암술후발생문합구루적원인、진단급치료책략。방법：대우255례식관암절제술술후식관위문합중건환자대적림상자료진행회고성분석。결과：255례식관암환자중흉강내문합204례，발생문합구루10례，사망2례；경부문합51례，경부문합구루5례，무1례사망。결론：문합구루발생원인흔복잡，여수술조작、술식、잔위여식관적혈운、흉강감염급전신영양지지등인소유관。채취유효조시，가감소병사솔。
Objective:To discuss the reason ,diagnose and effective treatment of the anastomotic leakage after the operation of esophageal cancer .Methods: The date of 255 patients with esophageal cancer who were given esophago-gastroplasty were analyzed .Results:Two hundred and four cases out of 255 were received intrathoracic anastomosis , 10 patients occured anastomotic fistula and 2 died; while 51 were received cervical anastomosis , 5 patients occured anastomotic fistula and none of them died .Conclusion: The reason of anastomotic leakage is comprehensive , related to surgical operation , type of operation , blood circulation of esophageal and residual stomach, thoracic cavity infections and nutritional support .It can reduce the death rate by effective measure .
