国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2008年
5期
308-311
,共4页
何世冬%杨萍%杨传永%张奎林%唐迎春%曹志新
何世鼕%楊萍%楊傳永%張奎林%唐迎春%曹誌新
하세동%양평%양전영%장규림%당영춘%조지신
消化管唇状瘘%棉球%外堵
消化管脣狀瘺%棉毬%外堵
소화관진상루%면구%외도
digestive tract lip shape fistula%cotton ball%lip-blocking
目的 探讨消化管唇状瘘棉球外堵法的临床意义.方法 采用前瞻性随机对照研究的方法,将2001年1月～2007年11月收治的消化管唇状瘘患者分为实验组(15例)和对照组(15例),对照组采用传统的瘘口持续引流、禁食或部分肠内营养加肠外营养支持处理方法,实验组采用瘘口棉球外堵法处理,控制外溢肠液,恢复正常进食及活动.比较两组患者一般临床资料、瘘口大小、流量、体重、白蛋白、确定性手术时间、术后并发症、住院天数、费用等.结果 实验组与对照组相比,瘘口缩小、流量减少、体重白蛋白上升、手术时间提前、术后并发症减少、住院时间缩短、费用减少等差异均有统计学意义.结论 消化管唇状瘘棉球外堵法安全有效,可显著缩短患者病程、减少费用及其痛苦、迅速改善其营养状况.
目的 探討消化管脣狀瘺棉毬外堵法的臨床意義.方法 採用前瞻性隨機對照研究的方法,將2001年1月～2007年11月收治的消化管脣狀瘺患者分為實驗組(15例)和對照組(15例),對照組採用傳統的瘺口持續引流、禁食或部分腸內營養加腸外營養支持處理方法,實驗組採用瘺口棉毬外堵法處理,控製外溢腸液,恢複正常進食及活動.比較兩組患者一般臨床資料、瘺口大小、流量、體重、白蛋白、確定性手術時間、術後併髮癥、住院天數、費用等.結果 實驗組與對照組相比,瘺口縮小、流量減少、體重白蛋白上升、手術時間提前、術後併髮癥減少、住院時間縮短、費用減少等差異均有統計學意義.結論 消化管脣狀瘺棉毬外堵法安全有效,可顯著縮短患者病程、減少費用及其痛苦、迅速改善其營養狀況.
목적 탐토소화관진상루면구외도법적림상의의.방법 채용전첨성수궤대조연구적방법,장2001년1월～2007년11월수치적소화관진상루환자분위실험조(15례)화대조조(15례),대조조채용전통적루구지속인류、금식혹부분장내영양가장외영양지지처리방법,실험조채용루구면구외도법처리,공제외일장액,회복정상진식급활동.비교량조환자일반림상자료、루구대소、류량、체중、백단백、학정성수술시간、술후병발증、주원천수、비용등.결과 실험조여대조조상비,루구축소、류량감소、체중백단백상승、수술시간제전、술후병발증감소、주원시간축단、비용감소등차이균유통계학의의.결론 소화관진상루면구외도법안전유효,가현저축단환자병정、감소비용급기통고、신속개선기영양상황.
Objective To investigate the clinical significance of external obturation with cotton ball in treatment of digestive tract lip shape fistula. Methods A prospevtive randomixed controllde study was conducted in 30 patients with digestive tract lip shape fistula admitted from January 2001 to November 2007,which were divided into experimental group ( 15 patienets) and control griup ( 15 patjients). The control group received traditional fistula mouth continuous drainage,with fastomg or part enteral nutrition and parenteral nutrition. The experimernal group received external obturatiion with cotton ball,with controling spills of oineteatinal fluid and resuming normal eating and activetes, The patients general information, fistuala mouth sixe, volume, weight, albumin, determinstic operation time, postoperative complications, hospital, signficantly reduced fistula, flow, postoperative compared between the two groups. Results Compared with the control group , significantly redced fistula, flow, postoperative complivations and cost, increased wdighe and albumin,as well as shortened operation time and hospital stay were found oin the experimetal grou. Conclusin External obturation with cotton ball is safe effective methde in treatment of digestive tract lip shape fistula, obviusly shortening the course of disease, redcing patients'cost and pain, and rapidly improving patients nutritional status.
