论文部分内容阅读
目的回顾性分析48例先天性食道闭锁术后并发症的防治,以提高食道闭锁术后生存率。方法总结17年来广东省某医院对食道闭锁术后并发症防治的经验,分析并发症与生存率的关系。结果 48例食道闭锁经手术后总治愈和好转率为67%,其中Ⅲ型治愈和好转率达到75%,术后出现的主要并发症依次是肺炎、吻合口狭窄、吻合口瘘、硬肿症和胃食道返流。结论加强术前术后的管理,积极预防和治疗并发症是提高手术后存活率的关键。
Objective To retrospectively analyze the prevention and treatment of complications after 48 cases of congenital esophageal atresia to improve the survival rate after esophageal atresia. Methods To summarize the experience of prevention and treatment of complications after esophageal atresia in a hospital in Guangdong province for 17 years and to analyze the relationship between the complication and survival rate. Results 48 cases of esophageal atresia after the operation of the total cure and improvement rate of 67%, of which type Ⅲ cure and improvement rate of 75%, the main complications were followed by pneumonia, anastomotic stenosis, anastomotic fistula, scleredema And gastroesophageal reflux. Conclusion To strengthen the management before and after surgery and actively prevent and treat the complications is the key to improve the survival rate after surgery.