摘要
目的探究吻合口旁预置负压引流管治疗食管癌术后吻合口瘘的临床价值。方法回顾性分析86例于我院行食管癌术后吻合口瘘患者的临床资料,根据引流管留置方法不同,将确诊吻合口瘘后采取传统胸腔闭式引流的患者纳入对照组(n=43),将同意食管癌根治术中预置负压引流管的患者纳入观察组(n=43)。比较两组患者引流2周内存活率、围术期基本情况、生活质量及并发症发生情况。结果引流2周内,观察组患者存活率明显高于对照组,而并发症总发生率明显低于对照组(P<0.05)。观察组患者引流后退热时间、根治手术后确诊吻合口瘘时间、引流时间、胃管留置时间、住院时间均明显短于对照组(P<0.05)。引流2周时,观察组患者QLQ-OES18评分明显高于对照组(P<0.05)。结论吻合口旁预置负压引流管治疗食管癌术后吻合口瘘疗效显著,对患者预后康复有利。
Objective To explore the clinical value of pesetting negative pressure drainage beside anastomotic stoma in the treatment of anastomotic leakage after esophageal cancer surgery.Methods The clinical data of 86 patients with anastomotic leakage after esophageal cancer surgery in our hospital were retrospectively analyzed. According to the different methods of drainage tube indwelling, the patients diagnosed with anastomotic leakage and treated with traditional closed thoracic drainage were included in the control group（n =43）, and the patients treated with pesetting negative pressure drainage in radical resection of esophageal cancer were included in the observation group（n =43）. The survival rates, basic perioperative situation, quality of life and occurrences of complications within 2 weeks of drainage were compared between the two groups.Results Within 2 weeks of drainage, the survival rate in the observation group was significantly higher than that in the control group, while the total incidence of complications was significantly lower than that in the control group（P〈0.05）. The fever clearance time after drainage, anastomotic leakage diagnosis time after radical rescection surgery, drainage time, gastric tube indwelling time and hospital stay in the observation group were significantly shorter than those in the control group（P〈0.05）. At 2 weeks of drainage, the QLQ-OES18 score in the observation group was significantly higher than that in the control group（P〈0.05）.Conclusion Presetting negative pressure drainage beside anastomotic stoma have significant efficacy in the treatment of anastomotic leakage after esophageal cancer surgery, and it is favorable for the prognosis and rehabilitation of patients.
作者
朱盼盼
杨斌
穆少峰
姜永红
ZHU Pan-pan;YANG Bin;MU Shao-feng;JIANG Yong-hong(Surgical Oncology Department,Weinan Central Hospital,Weinan 472500,Chin)
出处
《临床医学研究与实践》
2018年第20期46-47,56,共3页
Clinical Research and Practice
关键词
吻合口旁预置负压引流管
食管癌
吻合口瘘
pesetting negative pressure drainage beside anastomotic stoma
esophageal cancer
anastomotic leakage
