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目的总结胃癌根治术后胃残端漏的诊治经验方法对2009年8月~2013年7月黄山昌仁医院发生的3例胃癌根治术后胃残端漏病例进行回顾性分析,均采用“三管法”治疗。结果无死亡病例;2例引流术后6周治愈出院;1例形成胃-切口慢性管状瘘,后经胃镜取出胃残端丝线结,瘘管双套管引流治愈。结论用“三管法”通畅引流腹腔渗液和胃液,并提供足够的肠内营养支持是治疗胃癌根治术后胃残端漏的重要手段。
Objective To summarize the experience of diagnosing and treating gastric stump leakage after radical operation of gastric cancer. Three cases of gastric stump leakage after radical gastrectomy in Huangshan Changren Hospital from August 2009 to July 2013 were retrospectively analyzed. Law “treatment. Results No deaths were found. Two patients were cured and discharged after 6 weeks of drainage. One case had a gastric-incision chronic tubular fistula. The gastric stump was removed by gastroscope, and the double cannula drainage was cured. Conclusions The ”three-tube method," the unobstructed drainage of peritoneal effusion and gastric juice, and provide adequate enteral nutrition support for the treatment of gastric stump after gastric leakage an important means of leakage.