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目的探讨食管癌两切口患者术后颈部吻合口瘘防治办法,提高防治质量。方法回顾信阳市中心医院自2008年5月—2013年12月行食管癌两切口手术后并发颈部吻合口瘘23例,通过严密观察颈部吻合口瘘后病人生命体征,颈部切口,胃肠减压管、胸腔闭式引流量、质变化,胃管、营养管、呼吸道防治、心理及基础综合防治。结果本组颈部吻合口瘘23例,经综合防治均痊愈。结论食管癌两切口术后并发颈部吻合口瘘,及时积极正确的防治可以促进颈部吻合口瘘早日愈合,降低患者的经济负担。
Objective To investigate the prevention and treatment of neck anastomotic leakage after esophagectomy for improving the quality of prevention and treatment. Methods The Xinyang Central Hospital from May 2008 to December 2013 underwent esophagectomy after two incisions with cervical anastomotic leakage in 23 cases, through close observation of cervical anastomosis fistula after the patient’s vital signs, neck incision, stomach Intestinal decompression tube, closed thoracic drainage volume, quality changes, stomach tube, nutrition tube, respiratory control, psychological and basic integrated control. Results This group of 23 cases of anastomotic leakage of the neck, the comprehensive prevention and treatment were cured. Conclusions The esophagectomy complicated with cervical anastomotic fistula after two incisions can promote early healing of cervical anastomotic leakage and reduce the economic burden of patients.