摘要
目的:探讨食管贲门癌切除术后吻合口瘘的预防手段和有效的治疗措施。方法:回顾性分析本院收治、行食管癌切除和颈部食管胃吻合术的37例食管癌患者的临床资料。结果:全部病例均手术成功,其中7例发生颈部吻合口瘘,对患者进行密切临床观察,胃肠减压、胸腔闭式引流,肠内外营养支持治疗及基础护理等措施进行保守治疗,6例治愈,1例死亡。结论:食管癌切除术后吻合口瘘的发病率较高,需加强观察患者症状和体征,密切护理、积极预防、早期发现和对症治疗是吻合口瘘治愈的关键。
Objective： To explore the prevention means and effective treatment measures for the postoperative cervical anastomotic fistula of esophageal cancer. Method： 37 cases of esophageal cancer patients treated with resection or neck esophagus stomach anastomosis were retrospectively analyzed, also and their clinical data and treatment experiences. Result： All the operations were successful in which 7 cases of cervical anastomotic stomach fistula were found. All the cases of cervical anastomotlc stomach fistula were treated with conservative therapy including close observation, and gastrointestinal decompression, and thoracic closed drainage, and nutrition support, and so on. 6 cases were cured, while 1 case died. ConclusiOn： There is a high incidence of cervical anastomotic stomach fistula after esophageal cancer resection which should be taken seriously and nursed closely. The early detection and symptomatic treatment is the key of healing.
出处
《中国医学创新》
CAS
2013年第15期119-120,共2页
Medical Innovation of China
关键词
食管癌切除
颈部吻合口瘘
预防
治疗
Esophageal cancer resection
Cervical anastomotic stomach fistula
Prevention
Therapy
