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目的探索针对食管癌术后胸内吻合口瘘患者有效且微创的引流方法。方法自2012年1月至2014年12月在上海仁济医院胸外科针对14例食管癌术后胸内吻合口瘘伴包裹性积液的患者(男10例、女4例,年龄48~70岁)采取经超声引导下在瘘口旁置入12~14F J形可弯曲引流管的方法进行精确引流,同时配合胃肠减压及肠内营养治疗。结果无操作相关并发症发生,14例患者均治愈出院,引流时间17~89 d,每日引流量5~260 ml,总住院时间27~94 d。结论针对食管癌术后胸内瘘的患者经超声或CT引导下置入J形可弯曲引流管是有效且副损伤小的引流方法。
Objective To explore effective and minimally invasive drainage for esophageal cancer patients with intrathoracic anastomotic leakage. Methods From January 2012 to December 2014 in Shanghai Renji Hospital Thoracic Surgery for 14 cases of esophagectomy postoperative intrathoracic anastomotic leakage with encapsulated fluid in patients (10 males and 4 females, aged 48 to 70 Years old) to take the ultrasound guided fistula next to the placement of 12 ~ 14F J-shaped flexible drainage tube for accurate drainage, with gastrointestinal decompression and enteral nutrition treatment. Results No complications occurred. All 14 patients were cured and discharged. The drainage time was 17-89 days, the daily drainage volume was 5- 260 ml, and the total length of stay was 27-94 days. Conclusion For patients with postoperative thoracic fistula of esophageal cancer, the J-shaped bendable drainage tube under the guidance of ultrasound or CT is an effective and less-invasive method of drainage.