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目的探讨上消化道肿瘤术后吻合口瘘的诊治方法及治疗效果。方法回顾性分析收治的23例(男20例,女3例)上消化道肿瘤切除术后吻合口瘘患者的临床资料。结果 23例均经消化道造影证实,其中颈部瘘2例,胸部瘘16例,腹部瘘5例。所有病例均经局部引流,或同时行瘘口修补,深静脉插管,全身营养支持,妥善处理并发症。治愈22例(95.7%),死亡1例(4.3%)。结论上消化道肿瘤切除术后吻合口瘘经及时诊断、合理治疗,绝大多数可治愈。
Objective To investigate the diagnosis and treatment of anastomotic fistula after upper gastrointestinal cancer and its therapeutic effect. Methods The clinical data of 23 patients (20 males and 3 females) who underwent anastomotic leakage after upper gastrointestinal tumor resection were analyzed retrospectively. Results All 23 cases were confirmed by digestive tract angiography, including 2 cases of neck fistula, 16 cases of chest fistula and 5 cases of abdominal fistula. All cases were locally drained, or at the same time fistula repair, deep vein catheterization, general nutritional support, proper treatment of complications. 22 cases were cured (95.7%) and 1 died (4.3%). Conclusion Anastomotic fistula after upper gastrointestinal tumor resection is timely diagnosed and treated reasonably, the vast majority can be cured.