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胰岛素预防和治疗食管癌术后胃食管吻合口瘘的临床探讨
引用本文:郑立军,郭永祝,温建华,王丽娟,宋磊.胰岛素预防和治疗食管癌术后胃食管吻合口瘘的临床探讨[J].潍坊医学院学报,2003,25(2):128-129.
作者姓名:郑立军  郭永祝  温建华  王丽娟  宋磊
作者单位:潍坊市第二人民医院胸外科,山东,潍坊,261041
基金项目:潍坊市科技局资助课题 (课题编号 :2 0 0 1 0 36)
摘    要:目的:探讨胰岛素用于胃食管吻合口瘘预防和治疗的效果。方法:以1999年1月-2000年1月收治的26例行胃食管吻合并于术后应用胰岛素的食管癌病人作为治疗组与1998年1月-1999年1月收治的23例术后未用胰岛素的病人作为对照组进行分析比较。结果:治疗组26例中发生吻合口瘘1例,对照组23例中发生吻合口瘘7例,其发生率分别为3.4%和30.4%,治疗组无1例死亡,对照组死亡4例,死亡率为15.27%,结论:胰岛素用于胃食管吻合术后预防和治疗吻合口瘘是行之有效的方法。

关 键 词:胰岛素  吻合口瘘  预防  治疗    食管癌  生长因子
文章编号:1004-3101(2003)02-0128-02
修稿时间:2002年11月12

A Preliminary Study of Effects of Insulin in Preventing and Curing Stomal Fistula in Post-Operation of Esophageal Carcinoma
ZHENG Li jun,GUO Yong zhu,WEN Jian hua,WANG Li juan,SONG Lei.A Preliminary Study of Effects of Insulin in Preventing and Curing Stomal Fistula in Post-Operation of Esophageal Carcinoma[J].Journal of Weifang Medical College,2003,25(2):128-129.
Authors:ZHENG Li jun  GUO Yong zhu  WEN Jian hua  WANG Li juan  SONG Lei
Abstract:Objective To explore the effects of insulin in preventing and curing stomach esophagus stomal fistula.Methods A Case control study was employed in which there were 26 cases of esophagogastrostomy(from January ,1999 to January ,2000) as treated group with insulin after operation and 23 cases (from January, 1998 to January,1999)as control group without insulin treatment.Results 1 patient in the treated group (3.4%) and 7 in the control group (30.4%) failed for the stomal fistula. No one died in the treated group, but 4 in the control group died for that.Conclusion Insulin is effective in preventing and curing stomal fistula in esophagogastrostomy after operation.
Keywords:Insulin  Stomal fisual  Prevent  CureStudy on the Relationship between the Results of PPD Test and the Recent
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