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目的:探讨食管癌颈部食管胃吻合口瘘的诊治。方法:回顾分析本院2004年3月～2007年3月共行胸上中段食管癌切除术颈部食管胃吻合术101例,发生吻合口瘘11例的临床资料。结果:101例食管癌切除术颈部食管胃吻合术共发生11例颈部吻合口瘘,发生率10.9%,经治疗后全部治愈。结论:胃肠道维持营养,伤口敞开引流是治疗颈部食管胃吻合口瘘的主要方法。
Objective: To investigate the diagnosis and treatment of esophageal and gastric anastomotic fistula in esophageal cancer. Methods: The clinical data of 101 cases of esophagogastrostomy in our hospital from March 2004 to March 2007 were retrospectively analyzed. Results: A total of 11 cases of cervical anastomotic fistula occurred in 101 cases of esophageal cancer undergoing esophagectomy. The incidence was 10.9%. All cases were cured after treatment. Conclusion: The gastrointestinal tract to maintain nutrition, open wound drainage is the main method of treatment of cervical esophagogastric anastomotic fistula.