摘要
目的:探讨食管癌术后吻合口瘘发生的原因及其防治,以减少其发生,提高手术成功率。方法:对于2000年1月至2010年12月在我院住院手术治疗的1812例食管癌进行回顾分析,观察吻合口瘘发生的具体情况,并分析原因。结果:1812例食管癌术后发生吻合口瘘11例,发生率0.61%。其中颈部吻合598例,术后发生吻合口瘘5例,发生率0.84%;胸腔吻合1214例,术后发生吻合口瘘6例,发生率0.46%。结论:食管癌术后发生吻合口瘘是综合因素的结果,与术前准备、术中操作以及术后管理均有密切关系,要降低食管癌术后吻合口瘘发生率,必须重视食管癌全程治疗,而不能偏废。
Objective：To explore the reason and prevention of postoperative anastomotic leakage in patients with esophageal carcinoma,so as to reduce occurrence of the complications.Methods： Analyze the reasons of postoperative anastomotic leakage in 1,812 cases with esophageal cancinoma.Results： Postoperative anastomotic leakage is happened to 11 examples in 1,812 cases with esophageal carcinoma,the occurrence is 0.64%.Conclusions： The reasons of postoperative anastomotic leakage is comprehensive and is related to preoperative preparation,surgical operation,and postoperative management.
出处
《川北医学院学报》
CAS
2011年第6期533-535,共3页
Journal of North Sichuan Medical College
关键词
食管癌
吻合口瘘
预防
Esophageal carcinoma
Anastomotic leakage
Prevention
