食管癌手术前的消化道准备

目的总结食管癌手术消化道准备的方法及疗效。方法对2005--01—2008—12行食管癌切除、食管-胃吻合术173例的患者术前常规采用口腔护理、食管冲洗、通便，视食管梗阻情况使用抗生素、插胃管行食管冲洗。结果所有病例术后无吻合口狭窄、吻合口漏、脓胸、腹胀、便秘等发生，肺部感染率较低，能顺利进行术后早期肠内营养支持。结论食管癌术前良好的消化道准备对预防和减少术后吻合口狭窄、吻合口漏、胸腔感染和肺部感染等并发症的发生，对促进肠道功能恢复有较好的作用。

Preoperative preparation for digestive tract in the patients with esophageal carcinoma

Objective To summarize the method and curative effect of preoperative preparations for digestive tract in the patients with esophageal carcinoma. Methods Before operations of excision of esophagus and anastomosis of esophagus-stomach on 173 patients with esophageal during January 2005 and December 2008, the methods of regular oral nursing, rinsing of esophagus, laxation of motions, also using antibiotic medicine or intubation of stomach in case of esophageal obstruction was used. Results No case of incidence was related to narrowing of sewing up the incision, leaking of fluid or pyothorax, obvious abdominal distension, constipation. Lower rate of lung iffection and earlier intestinal nutrition support after the operation were achieved. Conclusion Well-made preparation of digestive tract before operation can play a better role on prevention and reduction of series of complications as post-operative narrowing of sewing up the incision, leaking of fluid or pyothorax, thoracic and lung iffections etc. and promotion of reeovery of intestinal function.