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食管闭锁修复术后影响吻合口漏的危险因素评估。

Evaluation of risk factors affecting anastomotic leakage after repair of esophageal atresia.

作者信息

Askarpour Shahnam, Peyvasteh Mehran, Javaherizadeh Hazhir, Askari Nasim

机构信息

Department of Pediatric Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

Arq Bras Cir Dig. 2015 Jul-Sep;28(3):161-2. doi: 10.1590/S0102-67202015000300003.

DOI:10.1590/S0102-67202015000300003
PMID:26537137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4737352/
Abstract

BACKGROUND

Anastomotic leak are reported among neonates who underwent esophageal atresia.

AIM

To find risk factors of anastomotic leakage in patients underwent esophageal repair.

METHODS

All cases with esophageal atresia were included. In this case control study, patients were classified in two groups according to presence or absence of anastomotic leaks. Duration of study was 10 years.

RESULTS

Sixty-one cases were included. Mean±SD age at time of surgery in patients with leakage and without leakage was 9.50±7.25 and 8.83±6.93 respectively (p=.670). Blood transfusion and two layer anastomosis had significant correlation with anastomotic leakage.

CONCLUSION

Blood transfusion and double layer anastomosis are associated with higher rate of anastomotic leakage.

摘要

背景

据报道，接受食管闭锁修复术的新生儿中存在吻合口漏的情况。

目的

寻找接受食管修复术患者吻合口漏的危险因素。

方法

纳入所有食管闭锁病例。在这项病例对照研究中，根据有无吻合口漏将患者分为两组。研究持续时间为10年。

结果

共纳入61例病例。有漏和无漏患者手术时的平均年龄±标准差分别为9.50±7.25和8.83±6.93（p = 0.670）。输血和双层吻合与吻合口漏有显著相关性。

结论

输血和双层吻合与较高的吻合口漏发生率相关。

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本文引用的文献

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Gastroesophageal anastomosis: single-layer versus double-layer technique--an experience on 50 cases.胃食管吻合术：单层与双层技术——50例经验
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Outcome of esophageal atresia beyond childhood.儿童期后食管闭锁的结局
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Oesophageal atresia.食管闭锁
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Chest. 2004 Sep;126(3):915-25. doi: 10.1378/chest.126.3.915.
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Outcomes in esophageal atresia and tracheoesophageal fistula.食管闭锁及食管气管瘘的治疗结果
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