论文部分内容阅读
目的 探讨食管癌术后胸胃穿孔的原因、诊断及治疗方法。方法 回顾性分析 5例食管癌术后胸胃穿孔的临床资料 ,对胸胃穿孔的可能性原因、诊断及治疗方法作进一步分析。结果 4例 (80 % )患者术前误诊为吻合口漏 ,所有患者经二次开胸修补穿孔 ,均获得成功。结论 食管癌术后胸胃穿孔的原因复杂 ,术前难以确诊 ,主要原因是胃壁局部血运障碍和手术损伤 ,正确的手术操作可减少胸胃穿孔的发生率 ,胸胃穿孔的诊断需要反复的检查 ,一旦确诊 ,早期再开胸修补穿孔是治疗成功的关键
Objective To investigate the causes, diagnosis and treatment of thoracic gastric perforation after esophageal cancer surgery. Methods The clinical data of 5 patients with thoracic gastric perforation after esophagectomy were retrospectively analyzed. The possible causes, diagnosis and treatment of thoracic gastric perforation were further analyzed. Results Four patients (80%) were misdiagnosed as anastomotic leaks before operation, and all the patients were successful in repairing perforation after secondary thoracotomy. Conclusions The causes of postoperative thoracic and gastric perforation of esophageal cancer are complex and difficult to diagnose preoperatively, which is mainly due to the local blood circulation disorders and surgical injuries. The correct operation can reduce the incidence of thoracic and gastric perforation. The diagnosis of thoracic and gastric perforation requires repeated Check, once diagnosed, early thoracotomy repair perforation is the key to the success of treatment