中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
9期
24-25
,共2页
梅文杰%李春伟%张恩勇%曾兴业
梅文傑%李春偉%張恩勇%曾興業
매문걸%리춘위%장은용%증흥업
器械缝合%消化道%吻合口及缝合口瘘
器械縫閤%消化道%吻閤口及縫閤口瘺
기계봉합%소화도%문합구급봉합구루
Anastomosed%Gastrointestinal tract%Postoperative leakage
目的:减少器械吻合和缝合消化道术后并发吻合口及缝合口瘘的发生率。方法:从1985年7月~2012年10月我们完成器械吻合和缝合消化道手术1450例(2723次),发生吻合口及缝合口瘘12例,约占(0.83%),进行回顾性分析。结果:局部组织水肿6例,器械故障3例,术者操作不当3例,器械吻合和缝合消化道术后并发瘘直接与术者操作、器械情况、适应证选择有关,术后并发瘘者1例死亡,其余经治疗获愈。结论:器械吻合和缝合消化道只要正确操作、正确选择适应证仍具有许多优越性,消化道的吻合和缝合口瘘可以预防。
目的:減少器械吻閤和縫閤消化道術後併髮吻閤口及縫閤口瘺的髮生率。方法:從1985年7月~2012年10月我們完成器械吻閤和縫閤消化道手術1450例(2723次),髮生吻閤口及縫閤口瘺12例,約佔(0.83%),進行迴顧性分析。結果:跼部組織水腫6例,器械故障3例,術者操作不噹3例,器械吻閤和縫閤消化道術後併髮瘺直接與術者操作、器械情況、適應證選擇有關,術後併髮瘺者1例死亡,其餘經治療穫愈。結論:器械吻閤和縫閤消化道隻要正確操作、正確選擇適應證仍具有許多優越性,消化道的吻閤和縫閤口瘺可以預防。
목적:감소기계문합화봉합소화도술후병발문합구급봉합구루적발생솔。방법:종1985년7월~2012년10월아문완성기계문합화봉합소화도수술1450례(2723차),발생문합구급봉합구루12례,약점(0.83%),진행회고성분석。결과:국부조직수종6례,기계고장3례,술자조작불당3례,기계문합화봉합소화도술후병발루직접여술자조작、기계정황、괄응증선택유관,술후병발루자1례사망,기여경치료획유。결론:기계문합화봉합소화도지요정학조작、정학선택괄응증잉구유허다우월성,소화도적문합화봉합구루가이예방。
Objective:To reduce the rate of leakage in suture line of gastrointestinal tract after anastomosed or closed by instrument . Methods:From July 1985 to 0ctomber 2012,1450 patients(2723 times) performed subtotal gastrointestinal tract anastomosed or closed by instrument 10 case (0.83%) with leakage in suture line of gestrointestinal tract after anastomosed or closed by instrument were review a -nalysised.Results:6 cases local tissue severe adema , 3 cases instrement malfunction and operating mistake in 3 case were found.Gastro-intestinal tract leakage after anastomosed or closed by instrument was related to choice on operating patient and condition of instrument , in 10 patients with leakage , 9 cases recover , and 1 case died .Conclusion:Gastrointestinal tract after anastomosed or closed by instrument may be prevented in the case of correct operating and good instrument and correct choice patients .