胃肠手术后肠瘘治疗方式的选择探讨
|
摘要
为探究胃肠手术后肠瘘治疗方式的选择原则,择取2014年6月—2015年6月来我院就诊的52例胃肠手术后出现肠瘘者为研究对象。依照患者肠瘘种类,将其分成小肠瘘组与直肠瘘组,小肠瘘组在早期实施手术干预。直肠瘘组先行非手术治疗,如未愈合,行确定性手术,对两组患者的一次治愈率进行统计。结果:本研究无死亡案例,从治愈率分析,小肠瘘组为83.33%,直肠瘘组为81.82%,组间数据不存在统计学意义,P>0.05。结论:对于行胃肠手术后出现小肠瘘者,早期实施小肠切除,肠吻合术,同时对腹腔实施引流,能够取得相对满意的成效;对于行胃肠手术后直肠结肠瘘者,先行非手术疗法,大部分可自愈,对于未愈者实施确定性手术,可取得满意成果。
In order to explore the choice of treatment of intestinal fistula after gastrointestinal surgery,52 cases of intestinal fistula after gastrointestinal surgery were selected from June 2014 to June 2015. According to the type of intestinal fistula patients,they were divided into small intestine fistula group and rectal fistula group,small intestine fistula group was taken surgical intervention in the early implementation. Rectal fistula group was taken definitive surgery if not healed with non-surgical treatment,and made statistics on two group patients with primary cure rate. There were no cases of death,and the cure rate of the small intestine fistula group was 83. 33% while the 81. 82% in the rectal fistula group. There was no statistically significant difference between the two groups( P > 0. 05). It shows that for patients with small intestine fistula after gastrointestinal surgery,it can achieve relatively satisfactory results with early implementation of small intestine resection,intestinal anastomosis and the implementation of drainage of the abdominal cavity,while for patients with rectal fistula after gastrointestinal surgery,most of patients can be healed with non-surgical therapy,and it can achieve satisfactory results for unhealed patients with definitive surgery.
In order to explore the choice of treatment of intestinal fistula after gastrointestinal surgery,52 cases of intestinal fistula after gastrointestinal surgery were selected from June 2014 to June 2015. According to the type of intestinal fistula patients,they were divided into small intestine fistula group and rectal fistula group,small intestine fistula group was taken surgical intervention in the early implementation. Rectal fistula group was taken definitive surgery if not healed with non-surgical treatment,and made statistics on two group patients with primary cure rate. There were no cases of death,and the cure rate of the small intestine fistula group was 83. 33% while the 81. 82% in the rectal fistula group. There was no statistically significant difference between the two groups( P > 0. 05). It shows that for patients with small intestine fistula after gastrointestinal surgery,it can achieve relatively satisfactory results with early implementation of small intestine resection,intestinal anastomosis and the implementation of drainage of the abdominal cavity,while for patients with rectal fistula after gastrointestinal surgery,most of patients can be healed with non-surgical therapy,and it can achieve satisfactory results for unhealed patients with definitive surgery.
引文
[1]刘及时,许克勤,汤建华,等.胃肠手术后肠瘘治疗时机及方式的选择[J].中国医学工程,2015,(04):153.
[2]张昭.胃肠手术后并发肠瘘30例临床研究[J].中国卫生产业,2014,(11):147+149.
[3]蒙显科,覃同昌,韦海宜.探讨对胃肠手术后并发肠瘘的治疗方法[J].当代医药论丛,2014,(05):71-72.
[4]邓维成,陈学金,丁国剑,等.胃肠手术后并发肠外瘘21例分析[J].中国普通外科杂志,2004,(04):313-314.
[5]闫东红,陈智年,徐兵,等.隐性小肠瘘七例分析[J].中华临床医师杂志(电子版),2012,(14):4058-4060.
[6]杜慎华,林荣繁.序贯应用生长抑素与生长激素治疗肠外瘘的临床研究[J].右江民族医学院学报,2011,33(05):643-644.
[2]张昭.胃肠手术后并发肠瘘30例临床研究[J].中国卫生产业,2014,(11):147+149.
[3]蒙显科,覃同昌,韦海宜.探讨对胃肠手术后并发肠瘘的治疗方法[J].当代医药论丛,2014,(05):71-72.
[4]邓维成,陈学金,丁国剑,等.胃肠手术后并发肠外瘘21例分析[J].中国普通外科杂志,2004,(04):313-314.
[5]闫东红,陈智年,徐兵,等.隐性小肠瘘七例分析[J].中华临床医师杂志(电子版),2012,(14):4058-4060.
[6]杜慎华,林荣繁.序贯应用生长抑素与生长激素治疗肠外瘘的临床研究[J].右江民族医学院学报,2011,33(05):643-644.