CAJ | 학술논문

目的：探讨介入下置管引流联合臭氧治疗腹部手术后肠外瘘的临床疗效。方法：将70例腹部手术后肠外瘘患者分成2组：A组35例，行常规外科治疗；B组35例，予介入下置管引流＋臭氧治疗。比较两组有效率、住院时间、费用及并发症等。随访观察治疗前及治疗后3d、1周、2周和1个月感染评分变化。结果：A组痊愈30例（85．7％），B组28例（80．0％），两者差异无显著性。 B组患者住院时间和费用均明显低于A组。A组切口并发症4例，腹腔出血2例，重症肺炎及感染性休克各1例；B组2例患者出现腹部绞痛，两者比较有显著差异。感染评分经重复测量方差分析，组间无统计学意义；治疗前后差异有显著性，A组治疗前后平均降低19．9，B组为23．5，表明B组抗感染效果优于A组。结论：介入下置管引流联合臭氧治疗腹部手术后肠外瘘安全有效，能明显缩短患者住院时间，降低费用，是安全有效的方法。
목적：탐토개입하치관인류연합취양치료복부수술후장외루적림상료효。방법：장70례복부수술후장외루환자분성2조：A조35례，행상규외과치료；B조35례，여개입하치관인류＋취양치료。비교량조유효솔、주원시간、비용급병발증등。수방관찰치료전급치료후3d、1주、2주화1개월감염평분변화。결과：A조전유30례（85．7％），B조28례（80．0％），량자차이무현저성。 B조환자주원시간화비용균명현저우A조。A조절구병발증4례，복강출혈2례，중증폐염급감염성휴극각1례；B조2례환자출현복부교통，량자비교유현저차이。감염평분경중복측량방차분석，조간무통계학의의；치료전후차이유현저성，A조치료전후평균강저19．9，B조위23．5，표명B조항감염효과우우A조。결론：개입하치관인류연합취양치료복부수술후장외루안전유효，능명현축단환자주원시간，강저비용，시안전유효적방법。
Objective To evaluate the efficacy of interventional catheter drainage combined with ozone therapy for the management of postoperative enterocutaneous fistula. Method A total of 70 patients with postoperative enterocutaneous fistula were enrolled and divided into group A (35, conventional surgical treatment) and group B (35, interventional catheter drainage and ozone therapy). Clinical efficiency, hospital stays, hospital expenses and complications were compared. Follow-up observations of the infection score in 2 groups before and after treatment (3 days, 1 week, 2 weeks and 1 month) were also compared. Results 30 cases in group A recovered (85.7%), and 28 cases in group B recovered (80.0%), the result of which shows no statistic significance. The hospital stays and expense in group B were significantly lower than those in group A. 4 cases of group A suffered from incision complications , 2 intra-abdominal hemorrhage , 1 severe pneumonia and 1 septic shock. 2 cases in group B suffered from stomachache. The differences can be shown significantly. The infection score between the two groups shows no significant difference, but the score was found to be obviously lower after treatment than before. The infection score decreased by an average of 19.9 in group A and 23.5 in group B,indicating a better anti-infective effect in group B. Conclusion Interventional catheter drainage combined with ozone therapy for the management of postoperative enterocutaneous fistula is safe and effective, with lower hospital stays and expense.