Clinical study of wrapping esophageal stomach thoracic anastomosis line with free diaphragma flap on prevention of anastomotic fistula

游离膈肌瓣包套食管&胃 胸 内吻合预防吻合口 瘘的临床研究

Conclusion Anastomotic and thoracic gastric fistula is considered to be one of the most serious complications after esophageal reconstruction . Combined application of total parenteral nutrition and enteral nutrition is the suitable non-traumatic therapy .

结论 胸 内吻合口瘘及 胸胃 瘘是食管重建 术后严重的并发症，综合应用静脉高价营养和胃肠内营养等治疗手段是处理 胸 内 瘘的有效的保守治疗方法。

Objective To summarize applied anatomy of the thoracic duct at cervical part and experiences in treating chylous fistula after radical neck dissection .

目的探讨颈 段 胸导管的临床应用解剖，以及颈廓清术并 发乳糜 漏的预防与治疗方法。

Objective To design the mushroom covered stent and study the primary application for gastroesophageal anastomosis thoracic cavity fistula .

目的设计封堵食管胃吻合口 胸腔 瘘的覆膜内支架。

Catheter with inflation bag can be used in enteroclysis closed drainage of thoracic cavity treatment of patients with either intestinal fistula or nasal bleeding irrigation of bladder and abscess drainage except for urethral catheterization bladder washout and cystostomy of patients .

气囊导尿管除用于导尿、膀胱冲洗、膀胱造漏外，临床上还广泛用于灌肠、 胸腔闭式引流、 肠瘘及鼻出血的治疗、膀胱灌注、脓肿引流等。

Objective To explore the feasibility and value of treating thoracic cavity fistula with covered esophageal stent through nasal esophagus drainage tube .

目的探索经鼻、食管引流及覆膜支架植入术治疗食管 胸腔 瘘的可行性及 临床价值。

Conclusion Treating thoracic cavity fistula after irradiation therapy of advanced esophagus carcinoma with covered esophageal stent through nasal esophagus drainage tube is feasible and safe clinical therapy is effective .

结论经鼻、食管引流及覆膜支架植入术治疗食管癌放疗术后 胸腔 瘘是可行的、安全的，疗效肯定。

Results The intrathoracic anastomotic fistula and thoracic gastric fistula occurred in 25 patients with an overall incidence of 2.0 % and an overall mortality of 28.0 % .

结果全组共发生胸内吻合口及 胸胃 瘘25例，其中吻合口瘘19例，胸胃瘘6例，总发生率为2.0%，死亡率为28.0%。

Interventional therapy of esophageal thoracic cavity fistula after irradiation therapy of advanced esophagus carcinoma

晚期食管癌放疗术后食管 胸腔 瘘 形成的介入治疗