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食管胃吻合口瘘是食管贲门癌切除术后最严重的并发症。我科自1978年6月～1990年5月施行食管贲门癌切除术1080例,发生吻合口瘘35例,发生率为3.2％。现结合临床分析讨论其发生原因,预防和治疗措施。临床资料1、性别与年龄:男26例,女9例。年龄39岁～67岁,平均54岁。2、病变部位:食管癌387例,发生吻合口瘘15例(3.8％);贲门癌693例,发生吻合口瘘20例(2.8％)。总发生率为3.2％。3、吻合口瘘发生部位:均为胸内吻合口瘘。其中手法吻合32例,吻合器吻合3例;主动脉弓上14例,弓下21例。
Esophagogastrostomy fistula is the most serious complication after esophageal and cardiac cancer resection. In our department, from January 1978 to May 1990, 108 cases of esophageal and cardiac cancer resection were performed. There were 35 cases of anastomotic leakage, and the incidence was 3.2%. Now combine clinical analysis to discuss the causes, prevention and treatment measures. Clinical data 1, gender and age: 26 males and 9 females. Age 39 to 67, with an average age of 54. 2. Lesions: There were 387 esophageal cancers, 15 anastomotic fistulas (3.8%), 693 cardiac cancers, and 20 anastomotic fistulas (2.8%). The total incidence was 3.2%. 3, anastomotic leakage site: all intrathoracic anastomotic fistula. Among them, there were 32 cases of anastomosis, 3 cases of anastomosis, 14 cases of aortic arch, and 21 cases of inferior arch.