ПЕРФОРАЦИИ ПИЩЕВОДА: ДИАГНОСТИКА И ЛЕЧЕНИЕ
Аннотация
Введение. Оказание медицинской помощи пациентам с повреждением и несостоятельностью швов пищевода остается обсуждаемой и актуальной темой. Цель исследования – представить обзор литературы с результатами данных по диагностике и методам лечения перфораций пищевода (ПП), обратив особое внимание на группу пациентов с поздними сроками обращения, имеющих разного рода осложнения. Материал и методы. Проанализированы опубликованные отечественными и зарубежными авторами данные и представлены результаты лечения пациентов с ПП в отделении торакальной хирургии УЗ «Брестская областная клиническая больница». Результаты. Отражены литературные данные по лечению ПП с применением разных методик и представлены результаты лечения пациентов в отделении торакальной хирургии УЗ «Брестская областная клиническая больница» с применением оригинальной методики с установкой Т-образной разборной дренажной системы с формированием «контролируемой фистулы». Летальность пациентов при эндоскопических вмешательствах при ПП составила 10%. Выводы. При ПП, по данным разных авторов, общая летальность на сегодняшний день достигает 67%. Использование видеоторакоскопических вмешательств при ПП позволяет снизить летальность до 10%.Литература
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