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食管胃吻合口瘘病因和防治的探讨
引用本文:陈宇. 食管胃吻合口瘘病因和防治的探讨[J]. 河北医科大学学报, 1986, 0(2)
作者姓名:陈宇
作者单位:河北医学院附属四院胸外科 研究生
摘    要:本文报告了食管、贲门癌切除5084例,发生吻合口瘘217例,发生率为4.3%,死亡率为38.2%。自1979年11月30日以来,应用手法吻合,北京Ⅳ型、上海GF-1型吻合器及腔内弹力环扎共行食管胃吻合术1790例,吻合瘘口的发生率分别为3.2%,2.2%,3.2%,5.1%。对新技术预防吻合口瘘的作用作出评价。

关 键 词:食管成形术 副作用  胃切除术 副作用  食管瘘 并发症  胃瘘 并发症  缝合技术 仪器和设备  腔内弹力环扎

PRELIMINARY STUDY ON ETIOLOGY, PREVENTION AND TRAETMENT OF ANASTOMOTIC LEAKAGE FOLLOWED ESOPHAGOGASTROSTOMY
Chen Yu Zhang Yude. PRELIMINARY STUDY ON ETIOLOGY, PREVENTION AND TRAETMENT OF ANASTOMOTIC LEAKAGE FOLLOWED ESOPHAGOGASTROSTOMY[J]. Journal of Hebei Medical University, 1986, 0(2)
Authors:Chen Yu Zhang Yude
Affiliation:Chen Yu~* Zhang Yude~
Abstract:A series of 5084 cases with esophageal or gastric-cardial carcinomas resected was reported. postoperative anastomotic leakage occurred in 217 cases with an incidence ofe4.3%, the resultant mortality being 38.2%. Since november 30 1970, 1790 cases of esophagogastrostomy have been performed by means of the maneuver suture, the stapler of Beiging type-4, the Shanghai type GF-1, or the intralumenal elastic ligation, the incidence of leakage was 3.2%, 2.2%, 3.2%, 5.1% respectively. The effect with these devices on preventing from anastomotic leakage was evaluated.
Keywords:esophagoplasty advers effect  gastrictomy advers effect  esophageal fistula complications  g-astric fistula complications  suture technies instrumentation
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