食管癌患者80例围手术期处理

目的:探讨食管癌的诊断、外科治疗及围手术期处理,提高术前诊断率、手术效果及减少并发症的发生率。方法:80例术前均经钡餐造影及纤维胃镜确诊为食管癌。均行手术治疗,并做好围手术期处理。结果:手术切除率97.5%(78/80);术后吻合口瘘6例,吻合口狭窄1例,吻合口出血2例,乳糜胸1例,肺部感染9例,术后1个月内未出现病死病例。结论:术前要行X线钡餐摄片与内镜活组织病理检查以减少漏诊率。积极做好围手术期处理,对增加患者肿瘤切除率、减少并发症及改善预后有较大帮助。

Perioperative management for 80 cases of esophageal cancer

Objective:To explore the diagnosis,surgical treatment and preoperative management for esophageal cancer,improve preoperative diagnosis rate,curative effect and reduce complications.Methods:All of 80 cases were diagnosed by barium meal radiography and gastroscope,and all were treated with surgical methods and carefully preoperative management.Results:Surgical radical resection rate was 97.5%(78/80).Postoperative complications were including 6 cases of leakage,1 case of anastomotic stricture,2 cases of anastomotic bleeding,1 case of chylothorax and 9 cases of lung infection.There was no death case during one month after operation.Conclusions:Esophageal cancer must be diagnosed by barium meal and gastroscope,which can reduce the rate of missed diagnosis.Doing a good preoperative management is helpful to improve the resection rate of the tumor,reduce the complications and improve the prognosis of esophageal cancer.