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目的食管癌与贲门癌术后并发吻合口瘘的临床分析与治疗探讨。方法 2008年6月~2013年6月在本院接受根治切除术治疗的92例食管癌和贲门癌患者中有13例患者手术后并发吻合口瘘,对这13例食管癌和贲门癌患者的临床资料进行回顾性分析。结果 13例患者中胸内吻合口瘘有12例,无患者死亡。颈部吻合口瘘有1例,无患者死亡。结论提高手术技巧,选择合理术式,强化术后护理可以降低吻合口瘘的发生率和死亡率。
Objective To analyze the clinical analysis and treatment of anastomotic leakage after esophageal and cardiac cancer surgery. Methods Thirteen out of 92 patients with esophageal and cardiac cancer who underwent radical resection in our hospital from June 2008 to June 2013 were complicated by postoperative anastomotic leakage, and these 13 patients with esophageal and cardiac cancers Clinical data were retrospectively analyzed. Results There were 12 cases of intrathoracic anastomotic leakage in 13 patients, and no patient died. There was one case of anastomotic fistula in the neck and no patient died. Conclusions Improving surgical skills, selecting appropriate surgical techniques, and strengthening postoperative nursing can reduce the incidence of anastomotic leakage and mortality.