食管、贲门癌术后吻合口瘘的预防和治疗

• 作 者: 原和平 丁悌
• 机 构: 山西省肿瘤医院
• 出 处: 肿瘤研究与临床
• 发表日期: 1996年02期
• 关键词: 贲门癌 术后吻合口瘘 吻合器 弓下吻合 十二指肠营养管 弓上吻合 胸腔感染 严重梗阻 胸内吻合口瘘 有显著性差异

１９６４年４月～１９９４年１２月，手术切除食管癌、贲门癌４７４１例。其吻合口瘘的发生率为２．６％，死亡率为１７．９％。３０年间Ａ组（１９６４～１９８７年）和８组（１９８８～１９９４年）吻合口瘘的发生率分别为３．８％、１．７％，死亡率分别是２４．４％、６．７％。两组分别比较，有显著性差异（Ｐ＜０．０１，Ｐ＜０．０５）。表明在近年吻合口瘘的预防和治疗方面有了很大进展。着重讨论了预防和治疗吻合口瘘的主要方法。

From April 1964 to December 1994, 4741 cases of esophageal and cardiac cancer were resected. The incidence of anastomotic leakage was 2.6%, and the mortality rate was 17.9%. The incidence of anastomotic leakage in Group A (1964-1987) and Group 8 (1988-1994) was 3.8% and 1.7%, respectively. The mortality rates were 24.4% and 6.7%, respectively. . There was a significant difference between the two groups (P<0.01, P<0.05). It shows that in recent years, great progress has been made in the prevention and treatment of anastomotic leakage. The main methods for preventing and treating anastomotic leakage were discussed.