胃癌根治术后吻合口瘘原因及处理_刘文韬

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1、·284·ᇏݓൌႨຓ॓ᄖᆽ୍ᄅज௹໓ᅣщݔࢲ࠹๤ྏᇏ࿐၄ࡅ؟ݓਆݢರაđłŀĎčğཌྷරbႄఏ໖ކ१ᮂჰၹޓݔࢲ࣮࿹ཛ۲đ؟҂࣐ཌྷ๝đሹุഈඪ໇δ۴ᇍඌު໖ކ१ᮂॖٳູ၄ჷྟၹ෍ބѨჷྟၹ෍ŀłbჰၹࠣԩ৘໇δ۴ᇍඌު໖ކ१ᮂᄪ௹གྷაᆐ؎ႮႿ۱ุҵၳđਢԵഈԛགྷඌު໖ކ१ᮂൈࡗ҂၂đਾ໓ᡐđဉૹෛሢ۲ো໖ކఖྀ҂؎ᅚაປ೿ࡆᆭۚᇉਈډކႨཌܼٗႋႨđ໖ކॖौྟննิۚđඌުࠧ੐ᆀູࠞ}ᅋေ~໇δݨေᇗວඵުඌದѨᇁ൞ᆡѩުඌᇍ۴࡮đ௜नᄝඌު฿ቐႷԛགྷࢠӈ࡮ŀłđቋພॖղᇛჰၹb໇δ۴ᇍඌު໖ކ

2、१ᮂ൞ఃᇏࢠ࿸ᇗѩᆡđॖമᇀ۱ᄅުb๙ݖ१ڛࠇ໇ܵᇿೆૅধಙਘࠇඣಷྟႮோജࠇܵੀႄᇹࢹđ࠴႕ᄯٚඌ൭ᇏඌđീൌఞീծٝყభඌbఏႄၹჰᇕ؟གྷఃՖ੐१ԩੀԛđॖૼಒൔކ৘࿊ᄴđၛࠣඌުѩۋసڴႵϴӈᮂ१ކ໖đӈ๙bᮂ१ކ໖؎ᆐ۴δ໇ࢆ൞ਏᇍིႵᆡಙਢԵіᇍඌު໖ކ१ᮂѨඵੱܱ࡯bགྷđೂಣaڴ๥aڴଇՏࠗᆘaϢ༥Іശۚđ࿸ᇗൈॖԛ}ܱ࡯Ս~໇δ۴ᇍඌĠ໖ކ१ᮂགྷۋಙྟྨक़bၹՎđ๙ݖ$5a#ӑڣᇹ࡟Ұđᄜࢲކਢᇏ๭ٳႵਸ਼đຓՎbłŀᮂ१ކ໖؎ᆐॖ္གྷіԵ"ğ઒ᆽѓང໓3ğোٳ໖ކ१ᮂ༢ᄜՑषڴ൭ඌࠇసࣤ൭ඌඌᇏᆣൌbReasonsanalysisandtreatmen

3、toftheanastomoticleakageafterradicalgastrectomyLIUWen-taođYAN໇δ۴ᇍඌު໖ކ१ᮂჰၹMin.DepartmentofGeneralSurgery,RuijinHospital,Shanghai൭ඌٚൔა໖ކ१ᮂ໇δ۴ऌ໊҂๝đ๙ӈҐႨJiaoTongUniversity,ShanghaiInstituteofDigestiveSurgery,ჹ໇δ۴ᇍඌa࣍໇δ۴ᇍඌބಆ໇్Ԣඌđӈ࡮Shanghai200025,China໖ކٚൔٳљູиúࠇиûൔaൊܵҗ໇໖ކa3PVYFO:Correspondi

4、ngauthor:YANMin,E-mail:ymrjym@yahoo.com.໖ކb໡ૌ߭ܤਔ২୍࣍ᄝ໡ჽྛჹ໇δ۴ᇍcnඌѨದሧਘđࢲݔཁൕđྛ໇δ۴ᇍඌиûൔ໖ކѨದAbstractPostoperativecomplicationsareimportantfactorsඌުᄪ௹ѩᆡളੱۚႿྛиúൔ໖ކѨದđ౏иûofthedeathafterradicalgastrectomy.Anastomoticleakageisൔ໖ކѨದඌު໖ކ१ᮂളੱ္ۚႿྛи*ൔ໖ކѨaseverepostoperativecomplication,whichiscausedby

5、manyದđ֌ҵၳഉ໭๤࠹࿐ၩၬŀłbোර࿹္࣮іૼđ҂๝reasons.Properpreoperativepreventivemeasures,appropriateᇗࡹٚمა໖ކ१ᮂ໭ૼಒܱ༢ŀłbՎຓđؓಆ໇ބchoiceofsurgicalprocedureandeffectivepostoperativeૌ໡đުࢠбྛࣉൔٚކ໖๝҂ඌԢ్໇ٳགྷ໖ކ१therapyarethemainkeystoreducethemortalitycausedbyᮂളੱҵၳन໭๤࠹࿐ၩၬŀłb෮ၛა໖ކٚൔཌྷбanastomoticleakage.ࢠđЌӻ໖ކ१࿓ᄎބ໖

6、ކ१ཌྷؓ໭ᅦ৯ؓࡨഒ໖ކ१Keywordsradicalgastrectomy;anastomoticleakageᮂള۷ູᇗေbᄝඌᇏೂݔ߈ၐ໖ކ१ॖିթᄝ࿓췌θࠇ໖ކ१ᅦ৯նൈީđ୅ྛ3PVYFO:ཌྷؓ໭୍࣍টđ࣐ܵ߄ਏa٢ਏڣᇹᇍਏٚم౼ਔӉቀࣉᅦ৯໖ކٚൔđх૧ିᄹࡆඌު໖ކ१ᮂڄགb۴ऌᅚđ֌ຓ॓ݣЇඌᇍ۴δ໇đ๝҂௹ٳሢෛbمིٚႵቋδ໇ਏᇍ൞ಯඌ൭ྟᇍ۴%a%a%മᇀ%ਥϘࢲೡຶ൭ඌ௹࠯ඌࠣຓ॓ఖྀࣉđ໇δඌުѩᆡളࠇ৳ކᄣఖ్Ԣb๙ӈಪູđঔնਥϘࢲೡٓຶॖᄹࡆੱބѨඵੱཁᇷ༯ࢆđ֌ඌުԛ࿓a໖ކ१ᮂa໖ކ१༮ᅎ໖ކ१ᮂٚ༆؟ޓႵಯđభଢbੱള

7、࿐ᆀಪູđ%൭ඌࠣۋಙඌުᄪ௹ѩᆡಯࢠӈ࡮ŀłbѨದඌު໖ކ१ᮂളੱۚႿ%൭ඌѨದbᇏݓ෻ຖ၂໇Ӌδඌު໖ކ१ᮂ൞ӈ࡮ᄪ௹ѩᆡŀłđ္൞ཛ࿹࣮ཁൕđಆ໇్Ԣࠣ৳ކᄣఖ్Ԣཁᇷᄹࡆ໇δඌުŀłᇁѨದඌުڴసۋಙࠣຶ൭ඌ௹ඵວቋᇶေჰၹbՎ໖ކ१ᮂളੱŀłbഉႵ࿹࣮ᆣൌđ໇్Ԣඌު໖ކ१ᮂຓđ໖ކ१ᮂԩ৘҂ߎᄹࡆѨದඌުඵວڄགa࿼Ӊᇾაுᄣ్ԢႵܱŀłđ֌໇్Ԣϴுᄣ్ԢࠇЌ਽ෛࠏਢŀłჽൈࡗaᄹࡆᇾჽٮႨࠣ႕ཙѨದӉ௹ളթb۲ཛ࿹࣮Ե൫ဒč3$5Ďໃᆣൌഈඍܱ৳ŀłbሹᆭđঔնਥϘࢲೡ໇δ