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目的分析食管胃胸腔内吻合口瘘的治疗措施及效果。方法选择2013年1月-2016年1月该院收治的食管癌患者350例,均采用胸腔内吻合术治疗,术后出现胸腔内吻合口瘘10例(2.86%),分析10例患者的一般资料、治疗措施及效果等。结果 10例患者中,弓上吻合口瘘6例,弓下吻合口瘘4例。经胃肠减压等非手术治疗及相应手术治疗后,痊愈出院9例(90.0%),死亡1例(10.0%),死因为呼吸循环衰竭及右下肢深静脉血栓。结论食管癌患者术后极易出现胃胸腔内吻合口瘘,病死率较高,需引起临床医师的高度关注。针对食管胃胸腔内吻合口瘘患者,尽早发现、及时确诊,尽早给予冲洗治疗、胸腔闭式引流治疗等,可改善临床症状,提高治疗效果,改善预后,值得进行深入研究和推广。
Objective To analyze the treatment and effect of esophagogastric anastomotic fistula. Methods From January 2013 to January 2016, 350 patients with esophageal cancer admitted to our hospital were treated by intrathoracic anastomosis. There were 10 cases (2.86%) of intrathoracic anastomotic fistula after operation, and the average of 10 patients Data, treatment measures and effects. Results Of the 10 patients, 6 were anastomotic fistula and 4 were anastomotic fistula. After decompression and other non-surgical treatment and the corresponding surgical treatment, 9 patients were discharged (90.0%) and 1 died (10.0%). The cause of death was respiratory failure and deep vein thrombosis in the right lower extremity. Conclusion The esophageal cancer patients are prone to anastomotic fistula in the stomach and thoracic cavity after operation, with a high mortality rate, which is of great concern to clinicians. For esophageal and thoracic anastomotic fistula patients, as soon as possible to find, timely diagnosis, as soon as possible to give irrigation treatment, closed thoracic drainage therapy, can improve clinical symptoms, improve the treatment effect and improve prognosis, it is worth carrying out in-depth study and promotion.