论文部分内容阅读
目的:观察负压吸引在食管癌术后吻合口瘘治疗及护理中的作用。方法:对2001-07/2009-02 32例食管癌根治术后发生颈部食管吻合口瘘患者进行分析,随机分为对照组15例,负压吸引组17例,比较两组吻合口瘘愈合时间、住院时间。两组均及时拆开颈部切口缝线,负压组瘘口周围给与鼻导管负压吸引,保证引流液及坏死组织及时清理。结果:32例食管癌根治术后颈部食管发生吻合口瘘,恢复良好,无死亡,负压组吻合口瘘愈合时间、住院时间均低于常规换药组。结论:负压吸引可以有效治疗食管癌术后颈部吻合口瘘,加快吻合口愈合。
Objective: To observe the effect of negative pressure on the treatment and nursing of anastomotic leakage after esophagectomy. Methods: Thirty-two cases of esophageal anastomotic fistula after radical resection of esophageal cancer from July 2001 to February 2009 were randomly divided into control group (15 cases) and negative pressure group (17 cases). The healing of anastomotic fistula Time, hospital stay. Both groups were promptly open the neck incision suture, negative pressure group around the fistula to attract nasal suction tube to ensure timely drainage of fluid and necrotic tissue. Results: 32 cases of esophageal cancer esophageal anastomotic leakage after radical resection, recovery was good, no death, negative pressure group anastomotic fistula healing time, hospitalization time were lower than the conventional dressing group. Conclusion: Negative pressure suction can effectively treat the anastomotic fistula after esophagectomy and accelerate the anastomotic healing.