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对 16 6 5例食管贲门癌患者 ,行手术切除 15 72例 ,切除率 94.4%,手术死亡 3例 ,死亡率 0 .19%。术后吻合口瘘 2 3例 ( 1.46 %) ,死亡 6例 :颈瘘 4例开放引流自愈 ;胸内瘘 19例 ,6例保守治疗 ,治愈 2例 ,死亡 4例 ,13例再手术 ,11例治愈 ,2例死亡。吻合口狭窄发生 13例 ( 0 .83%) :膜状型 6例 ,经扩张术治愈 ,环状型 2例经纵切横缝治愈 ,管状型 5例中 3例行吻合口切除胃食管端端吻合治愈 ,2例置管。乳糜胸 18例 ( 1.15 %) :1例胸膜固定法治愈 ,17例再手术治愈。食管贲门癌术后严重并发症原因是多方面的 ,但技术熟练、操作规范是减少并发症的关键。并发症的发生需早诊断、早治疗 ,从而提高治愈率 ,降低死亡率。
Of 16 6 cases of esophageal and cardiac cancer patients, 15 72 cases underwent surgical resection, resection rate 94.4%, surgical death in 3 cases, the mortality rate was 0.19%. There were 23 cases (1.46%) of anastomotic fistulas and 6 deaths after operation: 4 cases of cervical fistula were treated by open drainage and self-healing; 19 cases of thoracic fistula, 6 cases of conservative treatment, 2 cases of cure, 4 cases of death, 13 cases of reoperation, Eleven cases were cured and two died. Anastomotic stenosis occurred in 13 cases (0.83%): membranous in 6 cases, cured by dilation, ring 2 cases were cured by longitudinal incision, 5 cases of tubular type in 3 cases of anastomotic resection of the gastroesophageal end Anastomosis cured, 2 cases of catheter. Chylothorax in 18 cases (1.15%): 1 case of pleural fixation cured, 17 cases of re-operation cure. Esophageal and cardiac cancer postoperative complications are many, but skilled, standardized operation is the key to reducing complications. The occurrence of complications need early diagnosis and early treatment, thereby improving the cure rate and reduce the mortality rate.