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目的分析食管癌、贲门癌机械吻合术后吻合口瘘的原因。方法回顾性分析食管癌、贲门癌机械吻合328例临床资料;其中颈部食管胃机械吻合96例,胸内主动脉弓上食管胃机械吻合142例,主动脉弓下食管胃机械吻合78例,开腹食管空肠机械吻合12例。结果本组328例机械吻合共发生吻合口瘘7例,其中颈部吻合口瘘5例,胸内吻合口瘘1例,腹腔食管空肠吻合口瘘1例。结论食管癌贲门癌机械吻合应注意吻合口血运及张力,选择合适型号的吻合器,同时注意纠正全身营养状况和改善基础疾病,减少吻合口瘘的发生。
Objective To analyze the causes of anastomotic fistula after mechanical anastomosis of esophageal and cardia cancer. Methods The clinical data of mechanical anastomosis of esophageal and cardia cancer in 328 cases were retrospectively analyzed. Among them, there were 96 cases of cervical esophagogastric anastomosis, 142 cases of esophageal and stomach mechanical anastomosis in the thoracic aorta, 78 cases of esophageal and gastric anastomosis under aortic arch, Mechanical anastomosis in 12 cases. Results A total of 328 anastomotic fistulas were found in this group, including 7 anastomotic fistulas, including 5 anastomotic fistulas, 1 intrathoracic anastomotic fistula and 1 abdominal esophagogastric jejunostomy fistula. Conclusions esophageal and cardiac cardia cancer mechanical anastomosis should pay attention to anastomotic blood supply and tension, select the appropriate type of stapler, and pay attention to correcting the nutritional status of the body and improve the underlying diseases, reduce the occurrence of anastomotic fistula.