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食管癌贲门癌术后膈疝诊治(附37例报告)

Diagnosis and Treatment on Diaphragmatic Hernia after Surgery of Oesophagus Cancer or Cardia Cancer(Add 37cases Clinical Bulletin)
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摘要 目的探讨食管癌贲门癌术后膈疝诊治方案。方法回顾分析我院胸心外科1987年7月至2004年2月收治的37例食管癌贲门癌术后膈疝的临床资料及手术疗效。结果死亡2例,35例治愈出院。改进手术方法后,食管癌贲门癌术后膈疝发生率明显下降。结论食管癌贲门癌术后膈疝并非罕见,应争取早期诊断,及时治疗。胃结肠韧带游离充分、改进缝合技术、减少可增加胸腹腔压差的并发症,可明显降低术后膈疝发生率。 Objective:To explore the project on surgical diagnosis and treatment of the the diaphragmatic hernia after surgery of oesophagus cancer or cardia cancer.Methods:Analyze retrospectively the cases(about 37 cases from),1987 to 2?2004) of diagnosis and treatment of the the Diaphragmatic hernia after surgery of oesophagus cancer or cardia cancer.Result:There were two postoperative deaths.The rate of the diaphragmatic hernia after surgery of oesophagus cancer or cardia cancer dropped off significantly after improvement of surgery.Conclusion:It is not rare of the diaphragmatic hernia after surgery of oesophagus cancer or cardia cancer .we should try to make the earlier diagnosis and treatment.To adequately carve up stomach-colon′s ligament, improve suture techology and reduce complications of increasing pressure between thoracic and abdomen can lower the rate of the diaphragmatic hernia.
作者 郑一鸣
出处 《泰州职业技术学院学报》 2004年第6期48-49,共2页 Journal of Taizhou Polytechnic College
关键词 食管癌 贲门癌 膈疝 Oesophagus cancer Cardia cancer Diaphragmatic hernia
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