摘要
目的:探讨自发性食管破裂的诊断及手术方式,提高外科治疗的疗效。方法:对2007年～2011年收治的15例患者的病例资料进行回顾性分析。结果:本组发病时间4小时～5天,手术治疗15例,均开胸行脓胸病灶清除外,2例行裂口直接缝合+带蒂肋间肌瓣覆盖;13例行裂口"T"管引流+胃逆行造瘘,空肠造瘘术+胸腔纵隔引流术。均治愈,住院时间19天～3月,无死亡。结论:早期诊断、及时手术治疗及全面综合营养支持是自发性食管破裂取得较好疗效的关键,食管裂口T管引流法是简单安全有效的外科手术方式,尤其对于手术时间晚,污染重的病例。
Objective： To discuss the diagnosis and surgical treatment of spontaneous rupture esophagus（SRE）,and improve the efficacy of surgical treatment. Methods： The clinical data of 15 cases of SRE received from 2007 to 2011 was retrospectively analyzed. Results： The disease time of this group was 4h-5dong, 15 cases of thoracic empyema debridement, among them 2 case performed one stage suture, and Pedicled intercostal muscle flap coverage; 13 cases T tube drainage at the laceration, retrograde gastrostomy, enterostomy and mediastinum thoracis drainage. Length of stay were between 19 days and 3 months, All patients were cured, no death. Conclusions： Early diagnosis, promptly treatment and comprehensive nutrition support of spontaneous esophageal rupture are key factors; T tube drainage at esophageal laceration might be one kind of simple, safe and effective surgical operation, especially for the late operation and heavy inquination case.
出处
《中国伤残医学》
2012年第10期19-20,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
自发性食管破裂
外科手术
T管引流
Spontaneous rupture of esophagus
Diagnosis surgery
T tube drainage
