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作者经过系统的实验研究和尸体解剖,于1957年夏首次将结肠代食管运用到临床,至1969年底共施行胸骨后结肠代食管术70例。患者均为酸或硷腐蚀而引起的食管狭窄。出现狭窄的部位位于颈部者40例,支气管分义平面者11例,全颈段食管者12例,余7例则在咽喉部有不同程度的破坏。所有手术治疗的患者均属重度狭窄或极度狭窄,且多已经过扩张疗法无效。此类患者体力及营养状态均明显减退。患者之年龄由4岁至70岁,因年龄过小则危险增加,故作者认为满4岁者方采用根治性手术。有61例分二期完成手术,9例为一期完成。作者主张手术分二期进行。第一期在气管内麻醉下剖腹游离出合适的结肠肠段,其远心端与
After systematic experimental research and autopsy, the author applied the colon esophagus to the clinic for the first time in the summer of 1957, and 70 patients underwent esophageal colon esophagectomy by the end of 1969. Patients had esophageal stenosis caused by acid or alkali corrosion. There were 40 cases with stenosis in the neck, 11 cases with bronchial invagination plane, 12 cases with esophagus in the whole neck and more than 7 cases with different degrees of destruction in the throat. All surgical patients are severe stenosis or severe stenosis, and many have been dilated therapy is invalid. Such patients physical and nutritional status were significantly reduced. Patients from the age of 4 to 70 years old, the risk is increased because of age is too small, so the author believes that the parties over the age of 4 using radical surgery. There are 61 cases completed surgery in two phases, nine cases completed for the first phase. The author advocates surgery in two phases. The first phase of tracheal anesthesia Caesarean section out of the appropriate colon bowel, its distal end and