食管癌术后严重并发症因素分析

温剑虎; 李良彬; 吴庆琛; 秦治明; 杜铭; 蒋迎九

doi:10.13406/j.cnki.cyxb.2003.06.033

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食管癌术后严重并发症因素分析

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- 食管癌术后严重并发症因素分析
- Analysis and strategy on postoperative severe compications of the esophageal carcinoma
- 重庆医科大学学报 2003年第6期页码：792-794
- 作者机构：
  
  1. 重庆医科大学临床学院胸外科
  2. 重庆医科大学临床学院胸外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.06.033
  中图分类号： R735.1
- 纸质出版日期：2003，
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[1]温剑虎,李良彬,吴庆琛,秦治明,杜铭,蒋迎九.食管癌术后严重并发症因素分析[J].重庆医科大学学报,2003(06):792-794.

WEN Jianhu, et al. Analysis and strategy on postoperative severe compications of the esophageal carcinoma[J]. Journal of Chongqing Medical University, 2003,(6):792-794.
[1]温剑虎,李良彬,吴庆琛,秦治明,杜铭,蒋迎九.食管癌术后严重并发症因素分析[J].重庆医科大学学报,2003(06):792-794. DOI： 10.13406/j.cnki.cyxb.2003.06.033.

WEN Jianhu, et al. Analysis and strategy on postoperative severe compications of the esophageal carcinoma[J]. Journal of Chongqing Medical University, 2003,(6):792-794. DOI： 10.13406/j.cnki.cyxb.2003.06.033.

摘要

目的 :探讨食管癌术后严重并发症发生因素及对策。方法 :5 16例均行食管癌切除

胃食管重建术。颈部吻合 5 9例

主动脉弓上吻合 35 9例

弓下吻合 98例。结果 :术后发生呼吸衰竭 16例。吻合口瘘 2 1例

乳糜胸 9例

心脏并发症 6例

胃穿孔 3例

死亡 13例。结论 :食管癌术后并发症发生与病理分期

病变部位关系密切

严重并发症一旦发生

处理棘手并危及生命。

Abstract

Objective:To explore and identify the related factors of postoperative severe complications in patients with resectable esophageal carcinoma.Methods:516 cases of esophagectomy and esophagogastrostomy were studied retrospectivly.Among them 59

359 and 98 cases received esophagogastric anastomosis respectively at the cervical

intrathoracic supra-aortic and sub-aortic arch.Results:The morbidity of postoperative severe complication includes 16 cases of respiratory failure

13 cases of anstomosis leakage

9 cases of thoracic duct injury

6 cases of cardiac complication and 3 cases of gastric perforation.There were also 13 cases of death.Conclusion:Statistical analysis suggests that postoperative severe complications have significant correlation with patient age

tumor stage and location of the lesions.It is difficult to control and will cause death if the severe complications occur.

关键词

食管癌并发症因素分析

Keywords

esophageal cancercomplicationsFactors analysis

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