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食管切除术后胸内吻合口漏的临床分析
引用本文:刘阳,王立国. 食管切除术后胸内吻合口漏的临床分析[J]. 广州医药, 2005, 36(6): 20-21
作者姓名:刘阳  王立国
作者单位:1. 广州市第十二人民医院,510620
2. 河南科技大学第三附属医院,洛阳,471039
摘    要:目的探讨食管切除术后胸内吻合口漏的病因、治疗及预防.方法 412例食管切除术中15例发生吻合口漏,9例行非手术治疗,6例行手术治疗.结果行非手术治疗的9例吻合口漏中,7例治愈,2例死亡;行手术治疗的6例中,3例治愈,2例死亡,1例放弃治疗自动出院.结论食管切除术后胸内吻合口漏死亡率高,积极采取防范措施可降低吻合口漏的发生率.

关 键 词:食管切除 吻合口漏 病因 诊断 治疗
收稿时间:2005-10-08
修稿时间:2005-10-08

Clinical analysis of anastomotic leakage in thoracic cavity after esophagectomy
Liu Yang,Wang Liguo. Clinical analysis of anastomotic leakage in thoracic cavity after esophagectomy[J]. Guangzhou Medical Journal, 2005, 36(6): 20-21
Authors:Liu Yang  Wang Liguo
Affiliation:Liu Yang~1,Wang Liguo~2.1 Department of Chest Surgery,Guangzhou 12th People's Hospital,Guangzhou
Abstract:Objective To evaluate the etiological factor, diagnosis, treatment and prevention of anastomotic leakage in thoracic cavity after esophagectomy. Methods There were 15 cases with anastomotic leakage after 412 cases with esophagectomy 9 of 15 patients were treated with non-operation, 6 of 15 patients were treated with operation. Results 7 of 9 cases with non-operation were cured, 2 cases were died; 3 of 6 cases with operation were cured, 2 cases were died and 1 case was discharged voluntarily after giving up therapy. Conclusion The mortality rate of anastomotic leakage in thoracic cavity after esophagectomy is higher, and the appropriate therapy may reduce the incidence of anastomotic leakage.
Keywords:Esophagectomy   Anastomotic leakage   Etiological factor   Diagnosis   Treatment
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