摘要
目的:探讨食管癌术后吻合口出血诊断与治疗效果。方法:回顾性分析9例食管癌术后吻合口出血患者的临床资料,其中4例术中发现,采取加强缝合止血;1例内镜下肾上腺素多点注射止血;4例行胃镜辅助下开胸止血,其中1例行颈部重新吻合。结果:9例患者均治愈,其中1例术后半年发生吻合口狭窄,3例肺部感染,均无再出血及吻合口瘘等严重并发症发生。结论:食管癌术后吻合口出血是常见并发症之一,应用胃镜辅助手术治疗安全有效,并能有效地减少再次手术时对患者的创伤,利于患者恢复,减少术后并发症。
Objective：To investigate the applications of gastroscope in the diagnosis and surgical treatment of anastomotic hemorrage after esophago-gastrostomy.Methods：A group of 9 patients suffered from anastomotic haemorrhage after esophago-gastrostomy was analyzed retrospectively.Intensive suturation of the stoma was used in 4 cases which were detected in operation.Injecting adrenalin in multi-locations around the bleeding place was used in one patient.The other 4 cases were cured with gastroscope associated re-operation.Results：All of the 9 patients were healed and one patient developed to anastomotic stenosis,3 cases suffered from pulmonary infections which were cured by antibiotics.No re-haemorrhage,anastomotic leakage and other severe complications developed.Conclusion：Gastroscope should be the first diagnostic and curative option of anastomotic haemorrage after esophago-gastrostomy.Gastroscope associated re-operation is safe and available treatment and can diminish the damage of re-operation.
出处
《东南大学学报（医学版）》
CAS
2012年第2期186-188,共3页
Journal of Southeast University(Medical Science Edition)
关键词
食管肿瘤
吻合口
出血
胃镜
esophageal neoplasms
stomas
hemorrhage
gastroscopes
