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目的探究食管癌、贲门癌术后吻合口瘘发生的原因和防治措施。方法资料随机选自2003年5月—2013年5月在本院诊治的食管癌和贲门癌术后并发吻合口瘘患者92例,分析患者的临床治疗情况。结果经相应处理和治疗临床治愈率89.13%,病死率为10.87%;吻合口瘘痊愈时间段是12~45d,其中痊愈时间最集中发生在26~32d,痊愈率43.90%。结论食管癌和贲门癌术后并发吻合口瘘的原因较多,手术前做好相应充分准备工作,同时提升手术技巧,尽早发现,并及时予以相应处理和治疗,能有效提升患者预后生活质量,并降低患者死亡率的发生。
Objective To investigate the causes and prevention measures of anastomotic fistula after esophageal cancer and cardiac cancer. Method data were randomly selected from May 2003 - May 2013 in our hospital for diagnosis and treatment of 92 cases of esophageal and cardiac cancer patients with anastomotic leakage after the operation, analysis of clinical treatment. Results After treatment and treatment, the clinical cure rate was 89.13% and the mortality rate was 10.87%. The healing time of anastomotic fistula was 12-45 days, of which the recovery time was most concentrated between 26-32 days and the cure rate was 43.90%. Conclusion There are many reasons for anastomotic fistula after esophageal and gastric cardiocarcinoma surgery. Before the operation, adequate preparation should be made. At the same time, surgical techniques should be improved to detect and treat the esophageal and cardial cancers as soon as possible, which can effectively improve the quality of life, And reduce the incidence of patient mortality.