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目的探讨使用体位引流的方法治疗食管纵隔瘘的疗效。方法收集１９９２年元月～１９９６年３月收治的食管癌纵隔瘘２１例，用模拟定位机观察瘘道方位，以此安排引流时的体位。结果２１例食管纵隔瘘经过体位引流和内科治疗后，１月内胸痛症状缓解１８／２１例，发热症状消退７／９例。模拟定位机下吞稀钡透视证实穿孔愈合１８例，愈合率８５７％。２１例的３、６、１２月生存率分别为９０５％、６６７％、３３３％。结论体位引流治疗能促使食管纵隔瘘的愈合，穿孔愈合与瘘道的形状、粗细、长短、走行和是否并发纵隔炎等因素有直接关系。
Objective To investigate the therapeutic effect of esophageal mediastinal fistula using body position drainage. Methods Twenty-one cases of mediastinal fistula of esophageal cancer were collected from January 1992 to March 1996. The position of the fistula was observed with a simulated positioning machine to arrange the position during drainage. Results 21 cases of esophageal mediastinal fistula after drainage and medical treatment of body position, within 1 month of chest pain relief 18/21 cases, fever symptoms subsided 7/9 cases. Simulated positioning machine swallowed barium under fluoroscopy confirmed perforated healed in 18 cases, the healing rate of 85 7%. The survival rates of 3, 6 and 12 months in 21 cases were 905%, 667% and 333% respectively. Conclusion Body drainage therapy can promote esophageal fistula healing, perforation and fistula healing, thickness, length, walking and whether the concurrent mediastinitis and other factors are directly related.