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目的探讨外科治疗食管癌穿孔合并纵隔脓肿的理想手术方法及围手术期治疗特点。方法对9例食管癌穿孔患者行食管癌切除并纵隔穿孔区域周围组织切除、脓腔廓清。结果9例患者获得手术成功,近期疗效满意,生存期均在6个月以上。结论手术治疗食管癌穿孔合并纵隔脓肿效果良好,明显优于一般保守治疗。手术方式以左或右胸三切口术式(胸骨后胃代食管)为佳。
Objective To investigate the surgical treatment of esophageal perforation with mediastinal abscess ideal surgical methods and perioperative treatment characteristics. Methods Nine patients with esophageal perforation underwent resection of esophageal cancer and resection of the peri-mediastinal perforation. The abscess was cleared. Results Nine patients were successful in operation, the short-term efficacy was satisfactory, and the survival time was more than 6 months. Conclusion Surgical treatment of esophageal perforation with mediastinal abscess effect is good, significantly better than the conservative treatment. Surgical approach to the left or right thoracotomy (sternum on behalf of the esophagus) is better.