【摘要】 目的探讨使用体位引流的方法治疗食管纵隔瘘的疗效。方法收集１９９２年元月～１９９６年３月收治的食管癌纵隔瘘２１例，用模拟定位机观察瘘道方位，以此安排引流时的体位。结果２１例食管纵隔瘘经过体位引流和内科治疗后，１月内胸痛症状缓解１８／２１例，发热症状消退７／９例。模拟定位机下吞稀钡透视证实穿孔愈合１８例，愈合率８５７％。２１例的３、６、１２月生存率分别为９０５％、６６７％、３３３％。结论体位引流治疗能促使食管纵隔瘘的愈合，穿孔愈合与瘘道的形状、粗细、长短、走行和是否并发纵隔炎等因素有直接关系。更多还原

【Abstract】 Objective To evaluate therapeutic effectiveness of postural drainage for esophagomediastinal fistula. Methods From January 1992 to March 1996,there were 21 patients for esophagomediastinal fistula among 1461 patients for esophageal carcinoma.Fistula position of 21 cases were defined by rotating simulator boom to observe the fistula in barium swallow examination,then according to the fistula position to arrange postural drainage. Results In one month,chest pain remission 85 7%(18/21),abatement of fever 77 8%(7/9),fistula healing 85 7%(18/21).3、6、12 month survival rates of 21 cases were 90 5%、66 7%、33 3%.Conclusion Postural drainage could impel esophagomediastinal fistula to heal,influencing factor of esophagomediastinal fistula healing were the shape the length the diameter of the fistula and mediastinitis.更多还原