摘要
目的 探讨胸内食管胃吻合口瘘的保守治疗方法.方法 19例食管癌、贲门癌根治术后并发胸内食管胃吻合口瘘的患者,随机分为A组（10例）和B组（9例）.A组应用三管法治疗即高位空肠营养管肠内营养治疗＋胃管持续食管胃减压＋胸内、脓腔内引流管持续负压引流;B组应用两管法治疗即静脉营养治疗＋胃管持续食管胃减压＋胸内、脓腔内引流管持续负压引流.结果 （1）两组吻合口瘘治愈率均为100%;（2）吻合口瘘治愈后消化道功能障碍的发生率在A组为10.0%,在B组为55.6%;（3）A组治疗所需费用人均3408.22元,B组治疗所需费用人均12078.56元.结论 应用三管法、两管法治疗胸内食管胃吻合口瘘,二者疗效差异无统计学意义;应用三管法吻合口瘘治愈后消化道功能障碍的发生率和治疗所花费用均明显低于两管法,二者差异有统计学意义.三管法优于两管法.
Objective To investigate the conservative treatments for intrathoraeic anastomotic leakage. Methods A total of 19 patients with esophageal cancer or cardiac cancer who underwent radical resection and developed intrathoracic anastomotie leakage were divided into two groups randomly： Group A （ n = 10） and group B （ n = 9 ） ,in which the patients were treated by three - or two - pipe methods, respectively. Results The cure rates of the two groups were all 100%. The incidence of gastrointestinal dysfunction after the cure of anastomotic leakage was 10.0% in group A and 55.6% in group B. The cost for hospitalization was ￥3408.22 in group A and ￥12078.56 in group B on average. Conclusion Three - pipe method is superior to two - pipe method in terms of the incidence of gastrointestinal dysfunction and hospital cost.
出处
《临床外科杂志》
2010年第8期545-547,共3页
Journal of Clinical Surgery
关键词
食管癌
贲门癌
吻合口瘘
三管法
两管法
esophageal cancer
cardiac cancer
anastomotic leakage
three - pipe method
two - pipe method
