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目的讨论食管癌术后发生吻合口瘘的原因诊治及预防,以减少并发症的发生。方法对于405例食管癌切除术术后食管胃吻合重建,术后观察吻合口瘘的情况。结果 405例食管癌发生吻合口瘘23例,发生率为5.6%。结论吻合口瘘发生原因很复杂,与手术操作、术式、残胃与食管的血运、吻合口张力、胸腔感染及全身营养支持等因素有关。一旦发生,需采取有效的措施,可减少病死率。
Objective To discuss the diagnosis, treatment and prevention of anastomotic fistula after esophageal cancer surgery in order to reduce the incidence of complications. Methods 405 cases of esophageal resection of esophageal anastomosis reconstruction postoperative observation of anastomotic leakage. Results of 405 cases of esophageal anastomotic fistula occurred in 23 cases, the incidence was 5.6%. Conclusion The causes of anastomotic fistula are complicated, which are related to the operation, operation, gastric and esophageal blood supply, anastomotic tension, chest infection and general nutritional support. Once this happens, effective measures should be taken to reduce the case fatality rate.