食管癌切除术后吻合口瘘危险因素的Meta分析

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1、·ABSTRACTratewaslowerinthepatientswhooperationtimelessthan4.5hoursthaninthosewhomorethan4.5hours,thecombinedORand95％confidenceintervalwas0.25（0.16～0.37）(P＜0.01).Theincidenceratewashigherinthepatientswhohadtreatmentbymanualanastomosisthaninthosewhohadreceivedstapleranastomosis,thecombined

2、ORand95％confidenceintervalwas0.61（0.43～0.86）(P＜0.01).Theincidenceratewashigherinthepatientswhohadretrosternalreconstructionapproachthaninthosewhohadesophagealbedreconstructionapproach,thecombinedORand95％confidenceintervalwas3.20（2.41～4.25）(P＜0.01).Conclusion:Theriskfactorsofanastomoticfi

3、stulaafterresectionofesophagealcarcinomaareasfollows:diabetesmellitus,preoperativeserumalbuminlowerthan35g/L,respiratorysystemdisease,hypertension,preoperativeneoadjuvantradiotherapy,TheⅢandⅣstageofesophagealcancer,operationtimemorethan4.5hours,manualanastomosis,substernalcervicalanastom

4、osis.KEYWORDS:esophagealcancer;anastomoticleakage;meta-analysis;riskfactors.DissertationType:ResearchclassSubjectSource:OtherIV···万方数据···目录目录第1章绪论.................................................11.1研究背景.....................................................................................

5、.............................11.1.1引言..................................................................................................................11.1.2吻合口瘘定义和发生率...................................................................................21.1.3食管胃吻合口瘘的危险因素....................

6、.......................................................21.1.4食管胃吻合口瘘的诊断...................................................................................91.1.5食管胃吻合口瘘口的治疗.............................................................................111.1.6食管胃吻合口瘘的预防.......................

7、..........................................................151.1.7问题与展望....................................................................................................161.1.8Meta分析发展过程及作用............................................................................161.2研