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食管贲门癌术后膈疝并不多见,本组从1971年1月到1984年10月,共收治12例,其发生率为1％。其中男性8例,女性4例;食管癌7例,贲门癌5例。术后住院期发生膈疝3例,3个月以上发生膈疝9例(3月～5年5月)。食管贲门癌术后膈疝,一旦明确诊断,应立即手术治疗;术后早期膈疝应进腹修补,必要时取胸腹联合切口;若膈疝发生较晚,或胸腔粘连较重,仍以进胸修补为宜。 12例术后膈疝均手术治愈,未再复发。 10例痊愈出院,1例术后并发脓胸,1例并发结肠瘘虽治愈,但术后4个月死于肺转移。
The esophageal and cardiac cancer after surgery is rare, this group from January 1971 to October 1984, a total of 12 cases were treated, the incidence rate was 1%. There were 8 males and 4 females; 7 patients with esophageal cancer and 5 patients with cardiac cancer. Postoperative hospitalization occurred in 3 cases, 9 cases occurred in 3 months or more (3 months to 5 years in May). Postoperative esophageal and cardiac cancer surgery, once a clear diagnosis, surgical treatment should be immediate; postoperative early hemorrhoids should be repaired into the abdomen, if necessary, take a combined thoracoabdominal incision; if the sputum occurs later, or chest adhesions are heavy, still chest repair It is appropriate. Twelve cases were cured by surgery and no recurrence occurred. 10 patients were cured and discharged, 1 patient had postoperative empyema, and 1 patient with colonic hernia was cured, but he died of lung metastasis 4 months after operation.