食管癌切除术后吻合口瘘的研究与相关进展

《食管癌切除术后吻合口瘘的研究与相关进展》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号20153464中国图书分类号R655HebeiMedicalUniversity硕士学位论文专业学位食管癌切除术后吻合口瘘的研究与相关进展研究生：牛林鹏导师：何明教授专业：外科学二级学院：第四医院2018年3月目录中文摘要············································································································1英文摘要·····································

2、·······································································2综述食管癌切除术后吻合口瘘的研究与相关进展····································3致谢··················································································································16个人简历···························

3、···············································································17中文摘要食管癌切除术后吻合口瘘的研究与相关进展摘要食管癌发病率和死亡率居高不下，多年来一直位居我国最常见恶性肿瘤的前列，严重威胁着我国人民群众的生命健康安全。食管-胃吻合口瘘是食管癌切除术后最为严重的并发症之一，一旦早期没有及时发现或处理不当很可能引发术后患者的死亡；众所周知，造成术后吻合口瘘的成因与表现不完全相同，所对应的的治疗措施也应根据具体情况来制定；整体因素、局部因素和技术因素是导致食

4、管癌切除术后吻合口瘘发生的三大类危险因素。而对于存在吻合口瘘的患者采用何种治疗手段，是否二次手术，是否需要进行食管支架置入等都是食管外科医生值得深思熟虑的问题。本文综合近年来国内外相关文献，对食管-胃吻合口瘘的与诊断、原因、治疗及预防的研究与相关进展进行论述。关键词：食管癌,吻合口瘘，食管癌切除术，食管胃吻合，食管支架置入术1英文摘要TheresearchprogressofanastomoticleakagefollowingesophagectomyABSTRACTEsophagealcancerhasbeenattheforefrontofmos

5、tcommonmalignanciesinChinaformanyyears,andthemorbidityandmortalityremainshigh,whichthreatensthehealthandsafetyofpeopleinourcountryseriously.EsophagogastricanastomoticleakisnotonlyoneofthemostcommoncomplicationsafterEsophagectomy,butalsowithextremelyseriousconsequences.Ifitisnotd

6、iscoveredearlyorhandledproperly,itmaycausepostoperativedeath;thecausesandperformancesofpostoperativeanastomoticleakagearenotidentical,andthecorrespondingtreatmentmeasuresshouldbemadeinaccordancewithspecificconditions.Systemic,local,andtechnicalfactorsmaycontributetothecauseoflea

7、ksfollowingesophagectomywithesophagectomy.Whatkindoftreatmentshouldbeusedforpatientswithanastomoticleakage,whethertoperformsecondarysurgery,andwhethertoplaceesophagealstents?ThesearequestionsthatareworthyofThoracicSurgeons’consideration.Thisarticlesummarizestherelevantliterature

8、athomeandabroadinrecentyears,discussingtheperfo