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目的探讨三切口食管癌切除术后颈部吻合口瘘的发生原因及治疗措施。方法回顾性分析2001年6月至2008年6月收治的15例食管癌患者的临床资料。结果全组病例均行食管癌切除、颈部食管胃吻合术,术后共发生吻合口瘘3例,均治愈。结论彻底的颈部引流,充分的胃肠减压,足够的营养支持,适宜的抗感染治疗是治疗吻合口瘘的关键。
Objective To investigate the causes and treatment of neck anastomotic fistula after resection of triple incision esophageal cancer. Methods The clinical data of 15 patients with esophageal cancer admitted from June 2001 to June 2008 were retrospectively analyzed. Results All the patients underwent esophageal resection and cervical esophagogastrostomy. Three anastomotic fistulas occurred after operation, all of which were cured. Conclusions Thorough neck drainage, adequate decompression of the gastrointestinal tract, adequate nutrition support, and appropriate anti-infective therapy are the keys to treating anastomotic fistula.