食管癌术后消化道并发症的发生原因及防治

目的：探讨食管癌术后消化道并发症发生原因及预防措施。方法：1995年1月－2001年2月共对253例食管癌行切除术。其中164例采用吻合器吻合。结果：术后消化道并发症共51例次,发生率20．2％。其中吻合口瘘5例,吻合口狭窄9例,胃排空障碍3例,反流性食管炎34例。结论：食管癌术后消化道并发症较常见,通过提高手术操作技巧,应用适合类型的吻合器,加强手术后营养支持,提高病人术后自我护理能力能明显减少食管癌术后消化道并发症的发生。

Cause and Treatment of Complications of Alimentary Treact After Operating on Carcinoma of Esophagus

Objective:To discuss cause and preventing of complications of alimentary treact after operating on carcinoma of esophagus.Method:253 cases of esophagus carcinoma were operated on between Jan,1995 and Jan,2000.164 cases were used anastomat during operation.Result:There were 51 cases with complications of alimentary tract after the operation.The rate of complications was 20.2%. There were 5 cases of anastomotic fistula,9 cases of anastomotic stenosis,3 cases of gastric emptying disturbance and 34 cases of reflux esophagitis among those complications.Conclusion:Complications of alimentary tract after operating on carcinoma of esophagus take place commonly,complications of alimentary tract after operating on carcinoma of esophagus can be reduced by improving the skill of surgery,using the anastomat of the best types,emphasis on postoperative supports in nutriments and improving the nursing level of those patients postoperation.