食管癌术后吻合口瘘发生趋势及相关因素分析.pdfVIP

现代肿瘤医学 　2008年 11月 　第 16 卷第 11期 ·192 5 · 食管癌术后吻合 口瘘发生趋势及相关因素分析 陈海平 ,贺新爱 ,张继林 An a lysis of th e occu rrenc e tenden cy and re la tive fac tors on an astom o tic fistu la in p ostop 2 era tive esop h a gea l ca rc in om a CHEN H a i - p ing, HE X in - ai, ZHAN G J i - lin D epa rtm en t of ho racic Su rgery, B oa i Peoples’Hosp ita l, Henan B oa i 454450 , Ch ina. 【Ab stra c t 】　O bjec t iv e: o investigate the occu rrence ten den cy an d re lative factors of anastomot ic fistu la in po stop 2 e rat ive esop hagea l carcinom a. M e th od s: A total of 1028 case s of e soph agea l carcinoma w ere retro spec tive ly an a2 ( ) lyzed. Resu lt s: h e in ciden ce of the ana stomo tic fistula w as 6. 52 % 67 case s . O ccu rrence ra tes we re 10. 35% in 1997 , and 2. 22 % in 2006 , tha t show ed a trend of dec rease. he bad qu ality o f op e ra tion, low level o f h emoglob in, red b lood cell an d total p la sma p rote inw e re the ma in factorso f p o stop e ra tive an astomotic fistu la. he re w as no stati st i2 cal sign ifican e be tween the fi stu la group s and non - fi stu la group s in sex, age, p lasm a glu co se ( P 0. 0 5). C on c lu 2 sion : Progre ss of an astomo sis techn ique and excellen t op erat ion p lay an importan t role to d ec rease th e incid ence of ana stomotic fi stu la; he reason o f ana stomotic fi stu la po stop erat ive esop h agea l ca rc inom a i smany - sid ed. he effec tive mea su res to p reven t anastomot ic fistu la a re evalu at in g nu trition sta tu s before op era tion , stand ardized ope ra tion, nu tri2 tion support ing after op e rat ion. 【Key word s】e sop hagectomy ; an