论文部分内容阅读
目的探讨食管癌术后并发吻合口瘘及乳糜胸的高危因素并提出防治措施。方法回顾性分析我院2011年~2013年20例食管癌术后并发吻合口瘘及10例乳糜胸患者的资料,记为观察组,选取同期40例食管癌行手术治疗无吻合口瘘及乳糜胸患者的资料作为对照,记为对照组。分析患者发生乳糜胸及吻合口瘘的高危因素,并提出针对性防治措施。结果 观察组患者吻合口瘘与手术操作、感染及积液、营养不良、合并基础疾病等有明显相关性,与对照组患者比较差异明显,有统计学意义(P<0.05);乳糜胸与肿瘤病变广泛、胸导管解剖异常、胸导管损伤有明显相关性,与对照组患者比较差异明显,有统计学意义(P<0.05)。结论食管癌术后并发吻合口瘘和乳糜胸均是严重并发症,要对高危患者进行积极预防,一旦发生要选择合理的治疗方案,提高患者生活质量。
Objective To investigate the risk factors of esophageal cancer complicated with anastomotic fistula and chylothorax and to provide the prevention and treatment measures. Methods The data of 20 patients with esophagogastric anastomosis and 10 patients with chylothorax after operation in our hospital from 2011 to 2013 were retrospectively analyzed. The data of 40 patients with esophageal cancer underwent surgical treatment of anastomotic fistula and chyle Thoracic patients as a control, recorded as a control group. Analysis of patients with chylothorax and anastomotic leakage of high risk factors, and put forward prevention and treatment measures. Results The anastomotic fistula of the observation group was significantly correlated with the operation operation, infection and effusion, malnutrition, and underlying diseases. There was significant difference between the observation group and the control group (P <0.05) Extensive lesions, abnormal thoracic duct anatomy, thoracic duct injury were significantly correlated with the control group, the difference was statistically significant (P <0.05). Conclusions Concurrent esophagectomy with anastomotic fistula and chylothorax are both serious complications. Active prevention should be carried out in high-risk patients. In the event of a reasonable treatment plan to be selected, the quality of life of patients should be improved.