摘要
目的探讨食管癌术后吻合口处并发症的可能成因。方法收集2000年3月-2006年3月行食管癌切除术的患者140例,回顾性分析食管胃吻合口瘘和吻合口狭窄的临床成因。结果本组食管癌术后吻合口瘘6例(4.4%),瘘的发生与食管病变的位置、临床分期、手术方式有统计学差异(P<0.05)。吻合口狭窄的发生率为5%,狭窄的发生与手术方式有统计学差异(P<0.05)。结论食管病变位置、临床分期、手术方式是导致吻合口瘘重要成因之一,手术方式则是吻合口狭窄的主要成因。
Objective To explore the possible causes of the anastomotic complication after esophagogastrostomy in patients with esophageal carcinoma. Methods 140 patients with esophageal carcinoma received esophagogastrostomy, and the data of them were analysed retrospectively. Results The incidence rate of anastomotic fistula was 4.4%, and it related to positions of tumour, clinical stages and operation styles（P 〈 0.05 ）. The incidence rate of anastomotic stricture was 5% , and it related to operation styles（ P 〈 0.05 ）, Conclusions The tumor positions, clinical stages and operation styles are the main causes of anastomotic fistula after esophagogastrostomy in patients with esophageal carcinoma. And operation styles was the causes of anastomotic stricture after esophagogastrostomy.
出处
《实用全科医学》
2007年第9期795-796,共2页
Applied Journal Of General Practice
关键词
食管肿瘤
术后并发症
吻合口瘘
吻合口狭窄
Esophageal carcinoma
Postoperative complications
Anastomotic fistula
Anastomotic stricture
