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目的分析食管癌术后发生食管、胃吻合口瘘发生的治疗方法 ,减少病死率,提高患者的生活质量。方法通过对18例食管胃吻合口瘘的病例,早期诊断,早期引流,早期高位空肠造瘘营养支持,回顾52例吻合口瘘患者中29例死亡原因进行对比分析。结果颈部吻合口瘘治愈率81.8%,愈合时间最短2周,并发症明显减少。结论对吻合口瘘患者采用早期诊断,早期引流,早期高位空肠造瘘营养支持,能够有效地提高治愈率,减少死亡率,缩短病程,节约医疗资源,不失为有效地治疗方法 。
Objective To analyze the treatment of esophageal and gastric anastomotic fistula after esophageal cancer surgery to reduce the mortality and improve the quality of life of patients. Methods Eighteen patients with esophagogastric anastomotic fistula, early diagnosis, early drainage and early high jejunostomy nutrition support were retrospectively analyzed. The causes of death in 29 patients with anastomotic leakage were retrospectively analyzed. Results The cure rate of anastomotic fistula in the neck was 81.8%, the shortest healing time was 2 weeks, and the complication decreased significantly. Conclusion The early diagnosis, early drainage and early high jejunum fistula nutrition support for anastomotic fistula patients can effectively improve the cure rate, reduce mortality, shorten the course of disease, save medical resources, after all, an effective treatment.