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目的:探讨食管癌贲门癌术后吻合口瘘的发病因素及防治体会。方法:选取某院2010年5月~2014年5月间接受食管癌贲门癌手术的356例患者作为调查对象,分析患者术后吻合口的愈合情况。结果:356例患者中,29例术后发生吻合口瘘,发生率为8.14%,其中死亡2例,死亡率为0.56%。结论:食管癌贲门癌术后吻合口瘘的发生于手术技术、胸腔内积液感染、吻合口处愈合情况及术中处理方式等均与之关联,提高手术水平、改进吻合方法能够有效预防食管癌贲门癌术后吻合口瘘的发生。
Objective: To explore the incidence of esophageal and gastric cardia cancer after anastomotic leakage and prevention and treatment. Methods: A total of 356 patients undergoing esophagectomy and cardia cancer surgery from May 2010 to May 2014 in a hospital were selected as the research object to analyze the healing of anastomotic stoma after operation. Results: Among the 356 patients, 29 cases had anastomotic fistula after operation, the incidence was 8.14%, of which 2 were dead, with a mortality rate of 0.56%. Conclusions: Anastomotic fistula after esophagectomy and cardia cancer occurred in operative technique, pleural effusion infection, anastomotic healing and intraoperative management were related to improve the operative level and improve the anastomosis method can effectively prevent the esophagus The occurrence of anastomotic fistula after operation of cardia cancer.