| 食管癌胃代食道吻合口瘘原因分析及预防 |
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| 引用本文： | 崔少罡,陈维静,崔示德,白玲. 食管癌胃代食道吻合口瘘原因分析及预防[J]. 山西职工医学院学报, 1999, 0(1) |
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| 作者姓名： | 崔少罡 陈维静 崔示德 白玲 |
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| 作者单位： | 解放军264医院 030001(崔少罡，陈维静，崔示德)，解放军264医院 030001(白玲) |
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| 摘 要： | 目的:分析食管癌术后吻合瘘的原因,探讨综合预防措施。方法:统计1978年5月～1998年5月20年中,17例食管癌术后吻合瘘每5年发生例数分布。结果:本组食管癌术后吻合瘘病例,前10年13例,近10年4例;其发生率分别为5.73％(13/227)和1.17％(4/324),有逐年下降趋势。这与围手术期处理的完善、手术方式的改进及对可疑、好发瘘病人的特别关注有密切关系。结论:相对固定(程序化)的综合处理方法,在降低食管癌术后的吻合口瘘发生率方面意义重大。
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| 关 键 词： | 食管癌 吻合口瘘 预防 |
Analysis on the Causes and Prevention of Postoperative Anastomotic Fistula in Esophageal Carcinoma Patients |
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| Cui Shaogang,et al No. Hospital of PLA. Analysis on the Causes and Prevention of Postoperative Anastomotic Fistula in Esophageal Carcinoma Patients[J]. Journal of Shanxi Medical College For Continuing Education, 1999, 0(1) |
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| Authors: | Cui Shaogang et al No. Hospital of PLA |
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| Affiliation: | Cui Shaogang,et al No. 264 Hospital of PLA 030001 |
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| Abstract: | Objective:To find out the causes of postoperative anastomotic fistula and explore the measures for prevention. Methods: 17 cases of postoperative anatomosing fistula from May 1978 to May 1998 were analysed. Results: There were 13 cases in the first ten years and 4 cases in the second . The incidence of anastomosing fistula was 5.73% (13/227)and 1.17% (4/342), respectively. It was falling year by year , which was associated with measures of peroperative period , improvement of operative manner and special attention to high - risk patients. Conclusion; Relative fixed routine of universal prevention was significant in reducing the incidence of postoperative anastomosing fistula of esophageal carcinoma . |
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| Keywords: | Esophageal carcinoma Anastomotic fistula Prevention |
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