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目的 :探讨食管癌贲门癌术后吻合口瘘发生的原因及防治 ,减少该并发症的发生。方法 :对 1 62例食管癌贲门癌切除术后 ,食管胃吻合重建 ,术后观察吻合口瘘的发生情况。结果 :1 62例食管癌贲门癌发生吻合口瘘 3例 ,其发生率 1 .8%。结论 :吻合口瘘的发生是一个综合因素的结果 ,与手术操作、术式、残胃及食管的血运、吻合口的张力、胸腔感染、禁食和必要的全身营养支持等因素有关
Objective: To investigate the causes and prevention and treatment of anastomotic fistula after esophageal and gastric cardia cancer surgery and to reduce the incidence of this complication. Methods: Esophagogastrostomy was reconstructed after resection of esophageal and gastric cardia carcinoma in 162 cases. The incidence of anastomotic fistula was observed after operation. Results: Anastomotic fistula was found in 1 62 esophageal and gastric cardia cancers with an incidence of 1.8%. Conclusions: Anastomotic fistula is a combined outcome and is related to surgical procedures, surgical procedures, blood supply to the residual stomach and esophagus, tension in the anastomosis, chest infection, fasting, and necessary systemic nutritional support