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[食管癌患者围手术期口腔管理]

[Perioperative Oral Management for Esophageal Cancer Patients].

作者信息

Makino Tomoki, Yamasaki Makoto, Fujii Nami, Tanaka Nobukazu, Nohara Kanji, Doki Yuichiro

机构信息

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.

出版信息

Kyobu Geka. 2016 Jan;69(1):35-9.

Abstract

Aspiration pneumonia, known as one of the most common postoperative complication after esophagectomy for esophageal cancer, can be critical profoundly affecting upon postoperative course of patients. Since oral bacteria can be one of causes for development of postoperative pneumonia, perioperative oral management has very important role in reducing morbidity and improving function of dysphagia. We started perioperative oral management as a team approach for patients undergoing esophageal surgery since 1997. In the present study, we are going to introduce details of these our efforts including reoperative evaluation of oral status, education and tutorship for patients, and oral treatment to reduce postoperative complications after esophagectomy of esophageal cancer.

摘要

吸入性肺炎是食管癌食管切除术后最常见的术后并发症之一,可能至关重要,会严重影响患者的术后病程。由于口腔细菌可能是术后肺炎发生的原因之一,围手术期口腔管理在降低发病率和改善吞咽困难功能方面具有非常重要的作用。自1997年以来,我们开始对接受食管手术的患者采用团队方法进行围手术期口腔管理。在本研究中,我们将介绍这些努力的细节,包括口腔状况的再次评估、对患者的教育和指导,以及为减少食管癌食管切除术后的术后并发症而进行的口腔治疗。

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