食管癌术后并发症分析与探讨

【作者】 全雪梅；

【导师】 王者生；

【作者基本信息】 辽宁中医药大学 ， 中西医结合临床， 2010， 硕士

【摘要】 目的:探讨食管癌手术治疗后出现的各种并发症。材料与方法:抽取1999年3月至2009年3月在辽宁省人民医院胸外科病房住院治疗的264例食管癌患者作为研究对象,分析食管癌术后出现的各种并发症的发生情况,总结经验教训,更加合理地治疗食管癌,以提高手术根治率及术后生存率,改善患者的生活质量。结果:食管癌术前合并其他疾病占74.2%,根治术后并发症总发生率为23.1%(61/264),其中肺部并发症16.7%,吻合口瘘3.4%,切口感染4.2%,心血管并发症1.1%,脓胸1.5%。并发症死亡率为1.5%(4/264)。结论:食管癌根治术后并发症以肺部并发症、吻合口瘘多见,且为主要死亡原因。做好术前准备,治疗术前合并疾病,严格规范手术操作,是预防并发症的主要措施。更多还原

【Abstract】 Purpose:To discuss the complications of the operations for carcinoma of the esophagus.Material and method:The author collected and analyzed 264 cases to get the experences .With the information,we could make the treatment more reasonable and also improve the survival rate and cure rate.Results:The author got the results as follow:1.The rate was 74.2% that the carcinoma of the esophagus occurred with other diseases together before the operations.2.The total rate was 23% that complications occurred after the operations.In these ones,lung complications occupied 16.7%,3.4% for leakage in anastomosis,4.2% for ineision infection,1.1% for cardiovascular illness,1.5% for empyema.3.The death rate of complications was 1.5%(4/264).Conclusion:The main complications of operations for carcinoma of the esophagus are lung complications,leakage in anastomosis And they are also the main reasons why patients died.The best measures to prevent the complications are to prepare the operations well,to cure other illness before the operation and to observe the operation rules strictly.更多还原