论文部分内容阅读
吻合口瘘是食管癌和贲门癌切除术后最常见的严重并发症,发生率约0.44～9.4％,病死率38.4～50％。我院自1984年11月至1987年2月对100例食管、贲门癌患者施行手术,其中肿瘤切除消化道重建98例,发生吻合口瘘5例(5.1％),全部治愈。现报告如下。临床资料一、一般资料:本组5例均为男性,贲门癌切除1例,食管癌切除4例(其中上段癌2例、中段癌1例、中下段癌1例)。肿瘤切除后,颈部食管胃吻合者3例(其中2例为胸骨后胃代食管),胸腔内食管胃吻合2例。5例吻合口瘘均经美蓝口服和碘油造影证实。二、主要表现:本组吻合口瘘均发生于术后6～10天。4例在瘘发生前3～4天有不同程度
Anastomotic fistula is the most common serious complication after esophageal and cardiac cancer resection, with an incidence of about 0.44 to 9.4% and a mortality of 38.4 to 50%. In our hospital from November 1984 to February 1987, 100 cases of esophageal and cardiac cancer patients underwent surgery, including 98 cases of tumor resection of the digestive tract, anastomotic leakage occurred in 5 cases (5.1%), all cured. The report is as follows. Clinical data I. General information: 5 patients in this group were all males, 1 had cardiac cancer resection and 4 had esophageal cancer resection (2 of them were upper carcinoma, 1 middle carcinoma, and 1 middle and lower carcinoma). After resection of the tumor, there were 3 cases of esophagogastric anastomosis in the neck (2 cases were retrosternal gastric esophagus), and 2 cases of esophagogastric anastomosis in the chest cavity. All 5 cases of anastomotic leakage were confirmed by oral methylene blue and lipiodol angiography. Second, the main performance: This group of anastomosis fistula occurred in 6 to 10 days after surgery. 4 cases had different degrees 3 to 4 days before the occurrence of hemorrhoids