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简介:摘要目的总结高龄老人颈段食管异物的手术治疗经验.方法2例高龄颈段食管异物(枣核)均在内镜下未能取出异物,行左颈部食管切口异物取出术.结果食管异物(枣核)均顺利取出,一例术后出现颈部食管瘘,换药一周左右,术后第14天痊愈出院.一例术后第9天顺利痊愈出院.结论高龄颈段食管异物一旦内镜下不能取出,应积极早期手术;术前胃镜及CT定位,结合术中触摸定位,食管切口尽量小是顺利康复的关键.关键词高龄;颈段食管;食管异物中图分类号R735.1文献标识码A文章编号ClinicalExperiencesofSurgicalTreatmentinForeignBodiesinCervicalEsophagusinOldAge.AbstractobjectiveTosummarizeclinicalexperiencesofsurgicaltreatmentinforeignbodiesincervicalesophagusin2casesoldagesabove80yearsold.Methods2elderlypatientsabove80yearsoldwithforeignbodiesincervicalesophagusreceivedsurgicaltreatmentthroughleftcervicalincision.ReslutsForeignbodiesincervicalesophagusweretakenoutsuccessfullythroughleftcervicalincisionin2cases.Onecaserecoveredsmoothly.AnothersufferedfromcervicaleGsophagealleakageafteroperation,andrecoveredwelltwoweekslaterthroughconservativetreatment.ConclusionsForeignbodiesincervicalesophagusinoldagescan,tbetakenoutsmoothlythroughesophagoscope,surgicaltreatmentshouldbefirstlyconsideredtoremovalforeignbodiesasearlyaspossible.CorrectmanageGmentiKsetyhewokredysforrecovery.OldAge;CervicalEsophagus;ForeignBodiesinEsophagus中图分类号R791文献标识码A文章编号1008-6315(2015)12-0220-01
简介:摘要食管癌是发生在食管上皮组织的恶性肿瘤,是常见消化道恶性肿瘤之一,食管癌的治疗方法有手术治疗,放疗,化疗及中医药治疗。颈段食管癌因其侵及器官多,手术范围大,给手术带来很大的难度,同时也对护理工作提出了更高的要求。