Current status of care for cervical anastomotic leakage after esophageal cancer surgery
食管癌术后出现颈部吻合口瘘的护理现状

摘要

食管癌在临床上作为常见疾病，为增加患者生存机会，手术治疗是主要的治疗方法。食管癌术后吻合口瘘被认为是食管癌手术后最严重并发症之一，其导致的死亡率高达50%。颈部吻合口瘘的发生时间在手术后的2~8天不等。近年来，随着食管外科手术与围术期处理技术的进步，吻合口瘘发生率和死亡率都有显著降低。因此，如何预防颈部吻合口瘘、减少术前准备不足而造成吻合口瘘感染成为临床关注的重点问题。本文将对这种情况护理的最新进展进行详细综述。

Abstract

Esophageal cancer is a common disease in clinical practice. In order to increase the survival chance of patients, surgical treatment is the main treatment method. Anastomotic fistula is considered to be one of the most serious complications after esophageal cancer surgery, resulting in a mortality rate of up to 50%. The time of cervical anastomotic fistula varies from 2 to 8 days after surgery. In recent years, with the advancement of esophageal surgery and perioperative management techniques, the incidence and mortality of anastomotic fistula have been significantly reduced. Therefore, how to prevent cervical anastomotic fistula and reduce anastomotic fistula infection caused by inadequate preoperative preparation has become the focus of clinical attention. This article will provide a detailed review of the latest advances in care for this condition.