摘要
目的:探讨食管穿孔的诊断与外科治疗方法。方法:回顾分析1980 ̄2005年我院收治的食管穿孔28例。结果:本组病例行单纯食管穿孔修补术16例,食管穿孔切除食管胃吻合术5例,4例行颈部或胸腔引流术,3例保守治疗。治愈24例,治愈率85.7%,死亡4例,死亡率14.3%。结论:早期诊断和及时采取正确的处理措施是提高本病治愈率,降低死亡率的关键。
Objective: To study the diagnosis and surgical treatment of esophageal perforation. Methods: Retrospective analysis was made in 28 cases of the esophageal perforation hospitalized from 1980 to 2005 in our hospital. Resu/ts: Treatment options ranged from aggressive surgery to conservative management. Repair of esophageal perforation was performed in 16 cases, esophagectomy with the gastroesophagostomy in 5 cases, cervical or thoracic drainage in 4 cases and conservative treatment in 3 cases. 24 cases recovered from the disease, making up 87.5% the mortality while was 14.3%. Conclusion: In order to increase the recovery rates and decrease the mortality, it is important to diagnose and treat the disease in it' s early phases.
出处
《重庆医科大学学报》
CAS
CSCD
2006年第3期443-445,共3页
Journal of Chongqing Medical University
关键词
食管穿孔
诊断
治疗
Esophageal perforation
Diagnosis
Treatments