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食管吻合口瘘是食管癌术后常见且病死率较高的并发症,其发生的原因复杂,术前预防措施的恰当实施以及术后并发症的有效治疗是降低吻合口瘘病死率的关键。充分通畅引流、抗感染及营养支持是治疗吻合口瘘的基础。食管内支架植入、生物蛋白胶及钛夹的应用为治疗吻合口瘘提供了新的方法,尤其是可降解支架的使用对于吻合口瘘的愈合有较高的成功率,值得进一步深入研究。
Esophageal anastomotic fistula is a common postoperative complications of esophageal cancer and high mortality, its causes are complicated, the proper implementation of preoperative preventive measures and effective treatment of postoperative complications is the key to reduce the mortality of anastomotic leakage. Full unobstructed drainage, anti-infective and nutritional support is the basis for the treatment of anastomotic leakage. The application of esophageal stent implantation, bioprotein glue and titanium clips has provided a new method for the treatment of anastomotic fistula. In particular, the use of degradable stents has a high success rate for the healing of anastomotic fistulas and deserves further study.