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目的:探讨食管贲门癌术后吻合口瘘防治措施。方法:对食管贲门癌术后12例吻合口瘘进行分析总结。结果:颈部瘘10例,胸内瘘2例,颈部瘘均经保守治疗成功,2例胸内瘘均自动出院,后死亡。结论:吻合口瘘的发生与血运不好、张力过高、感染和缝合技术缺陷、吻合方法、部位、营养不良等因素有关;吻合口瘘重在预防,早期诊断,及时治疗是提高吻合口瘘治愈率的关键。
Objective: To investigate the prevention and treatment of anastomotic leakage after esophageal and cardiac cancer operation. Methods: 12 cases of anastomotic fistula after esophageal and cardiac resections were analyzed and summarized. Results: 10 cases of neck fistula, 2 cases of thoracic fistula and 2 cases of thoracic fistula were all discharged automatically and died after conservative treatment. Conclusion: The incidence of anastomotic fistula is related to poor blood supply, excessive tension, defects in infection and suture technique, anastomosis method, location, malnutrition and other factors. Anastomotic leakage is important in prevention, early diagnosis and timely treatment to improve anastomotic stoma Fistula cure rate of the key.