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目的探讨颈部开放引流在食管癌颈部吻合术后的应用。方法 500例食管癌颈部吻合患者随机分为研究组(260例)和对照组(240例),对照组行颈部橡胶条引流,研究组患者拔除橡胶引流条后,在保证颈部引流口通畅的情况下,给予颈部开放引流2~3 d,观察两组患者术后颈部引流量、颈部吻合口瘘的发生、颈部切口的感染,术后吻合口狭窄的发生进行研究。结果研究组患者颈部的总引流量增加,吻合口瘘的发生较对照组明显减少,并且在后期处理也较研究组容易。同时颈部切口感染也明显减少,术后复查吻合口狭窄,两组差异无统计学意义(P>0.05)。结论食管癌颈部食管胃器械吻合的患者,术后建议留置5 d左右颈部引流,同时要保证颈部引流的通畅,开放引流不但不增加颈部吻合口瘘和感染的发生,反而减少了该种情况的发生。
Objective To explore the application of cervical open drainage in esophageal cancer after cervical anastomosis. Methods A total of 500 esophageal cancer patients with neck anastomosis were randomly divided into study group (260 cases) and control group (240 cases). The control group received neck rubber band drainage. After removal of rubber drainage strip, Open the neck to open drainage 2 ~ 3 d, observe the two groups of patients after neck drainage, neck anastomotic leakage, neck incision infection, postoperative anastomotic stenosis were studied. Results In the study group, the total drainage of the neck increased, and the incidence of anastomotic fistula was significantly reduced compared with the control group, and the post-treatment was also easier than the study group. At the same time neck incision infection was also significantly reduced, postoperative anastomotic stenosis review, the difference between the two groups was not statistically significant (P> 0.05). Conclusion Esophageal cancer cervical esophagogastric anastomosis patients recommended postoperative left neck about 5 d, while ensuring the drainage of the neck patency, open drainage not only does not increase the incidence of neck anastomotic leakage and infection, but reduced This happens.