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全食管切除术后早期胃出口梗阻的病因分析

Analysis cause of early gastric exit obstruction following total esophagectomy.

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【作者】 丁卫军辛定一徐富仁蒋锡初曹子昂常建华金小寅谢宗涛孙振宇李晓林

【Author】 Ding weijun, Xin Dingyi, Xu Furen, et al. Department of Cardiac and Thoracic Surgery, The Fourth Affiliated Hospital, Suzhou Medical College, Wuxi Jiagsu 214062

【机构】 无锡市第四人民医院心胸外科

【摘要】 目的预防全食管切除术后早期胸胃出口梗阻。方法分析8例全食管切除术后早期胸胃出口梗阻的病因。结果发现膈肌裂孔环箍4例、胃出口被过度牵拉2例、胃体膨入胸腔造成出口成角梗阻1例、粘连索带压迫胃出口1例。其中7例获及时手术解除梗阻,痊愈出院。结论全食管切除术后早期胸胃出口梗阻均与术中操作不当甚至操作失误有关。只要能引起术者特别的注意,此并发症多可避免。

【Abstract】 Objectives To prevent early gastric exit obstruction following total esophagectomy. Methods Analyse the causes of early gastric exit obstruction following total esophagectomy of 8 cases. Results Distema of diaphragm narrow in 4 cases. Gastric exit towed excessively in 2 Gastric body expending to thoracic cavity in 1. Gastric exit constricted by rope in 1. Seven cases were cured by operation. Conclusions Early gastric exit obstruction follwing total esophagectomy related to improper manipulation or carelessness in operation. This complication may be avoided if operators pay enough attention.

  • 【文献出处】 中国肿瘤临床与康复 ,CHINESE JOURNAL OF CLINKAL ONCOLOGY AND REHABILITATION , 编辑部邮箱 ,1999年02期
  • 【分类号】R735.105
  • 【被引频次】17
  • 【下载频次】22
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