Retrospective study on treatment of intrathoracic fistula after esophageal cancer surgery
10.3760/cma.j.cn112434-20191101-00388
- VernacularTitle:食管癌术后胸内瘘治疗的回顾性研究
- Author:
Shaohui ZHOU
1
;
Yongbin SONG
;
Wenhao WANG
;
Shaohui HAN
;
Guibin ZHANG
;
Lijun LIU
Author Information
1. 河北省人民医院胸外科,石家庄 050051
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(11):690-693
- CountryChina
- Language:Chinese
-
Abstract:
Objective:By comparing the clinical outcome of the modified triple tube method and the traditional three-tube method in the treatment of thoracic internal fistula after esophageal cancer surgery, in order to provide a basis for the clinical treatment of thoracic fistula after esophageal cancer surgery.Methods:The traditional three-tube method for the treatment of thoracic fistula after esophageal cancer surgery was the traditional group, and the modified three-tube method was the modified group. There was no spillover of the contrast agent during the above gastrointestinal angiography and the patient could eat normally as the standard of cure. In this study, we collected the data of thoracic fistula patients after esophageal cancer surgery who were treated with two kinds of treatment methods in our hospital in different time period(the traditional group: 10 patients from February 2008 to June 2014; the modified group: 36 patients from January 2012 to December 2019). Retrospective analysis of the two groups of patients in terms of general data(sex, age, etiology and other factors), time to cure and other indicators, compare the pros and cons of these two methods in the treatment of postoperative thoracic fistula.Results:There was no significant difference in general data such as sex, age, and cure time between the two groups, but there was significant difference in the cure time( P<0.01). The average cure time of the modified group was(38.08±11.97) days, which was significantly better than that of the traditional group(95.60 ± 7.79) days. Conclusion:Compared with the traditional three-tube method, the modified three-tube method can significantly shorten the treatment time when treating patients with thoracic fistula after esophageal cancer surgery.