中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
24期
3689-3691
,共3页
十二指肠疾病%减压术,外科%空肠造口术
十二指腸疾病%減壓術,外科%空腸造口術
십이지장질병%감압술,외과%공장조구술
Duodenal diseases%Decompression,surgical%Jejunostomy
目的 观察经十二指肠置管减压术联合经空肠造瘘插管十二指肠减压术治疗十二指肠创伤的临床效果.方法 60例十二指肠创伤患者随机分为两组,30例患者采用单纯十二指肠置管减压术作为对照组,30例患者采用经十二指肠置管减压术联合经空肠造瘘插管十二指肠减压术作为观察组,观察两组患者手术一般情况及术后并发症发生情况,同时在手术当天及术后7d评价患者营养状态.结果 两组手术时间及术中出血量差异均无统计学意义(均P＞0.05),观察组术后无1例发生十二指肠瘘,对照组4例(13.33％)发生十二指肠瘘,两组差异有统计学意义(x2=4.286,P＜0.05);两组术后并发腹腔脓肿、肺部感染、切口感染等差异均无统计学意义(均P＞0.05).观察组术后7d体质量及右上臂周径稳定率均明显高于对照组(x2=7.519、9.868,均P＜0.05).结论 经十二指肠置管减压术联合经空肠造瘘插管十二指肠减压术治疗十二指肠创伤手术减压效果显著,可明显降低十二指肠瘘的发生,改善患者营养状况,促进十二指肠创口的愈合.
目的 觀察經十二指腸置管減壓術聯閤經空腸造瘺插管十二指腸減壓術治療十二指腸創傷的臨床效果.方法 60例十二指腸創傷患者隨機分為兩組,30例患者採用單純十二指腸置管減壓術作為對照組,30例患者採用經十二指腸置管減壓術聯閤經空腸造瘺插管十二指腸減壓術作為觀察組,觀察兩組患者手術一般情況及術後併髮癥髮生情況,同時在手術噹天及術後7d評價患者營養狀態.結果 兩組手術時間及術中齣血量差異均無統計學意義(均P＞0.05),觀察組術後無1例髮生十二指腸瘺,對照組4例(13.33％)髮生十二指腸瘺,兩組差異有統計學意義(x2=4.286,P＜0.05);兩組術後併髮腹腔膿腫、肺部感染、切口感染等差異均無統計學意義(均P＞0.05).觀察組術後7d體質量及右上臂週徑穩定率均明顯高于對照組(x2=7.519、9.868,均P＜0.05).結論 經十二指腸置管減壓術聯閤經空腸造瘺插管十二指腸減壓術治療十二指腸創傷手術減壓效果顯著,可明顯降低十二指腸瘺的髮生,改善患者營養狀況,促進十二指腸創口的愈閤.
목적 관찰경십이지장치관감압술연합경공장조루삽관십이지장감압술치료십이지장창상적림상효과.방법 60례십이지장창상환자수궤분위량조,30례환자채용단순십이지장치관감압술작위대조조,30례환자채용경십이지장치관감압술연합경공장조루삽관십이지장감압술작위관찰조,관찰량조환자수술일반정황급술후병발증발생정황,동시재수술당천급술후7d평개환자영양상태.결과 량조수술시간급술중출혈량차이균무통계학의의(균P＞0.05),관찰조술후무1례발생십이지장루,대조조4례(13.33％)발생십이지장루,량조차이유통계학의의(x2=4.286,P＜0.05);량조술후병발복강농종、폐부감염、절구감염등차이균무통계학의의(균P＞0.05).관찰조술후7d체질량급우상비주경은정솔균명현고우대조조(x2=7.519、9.868,균P＜0.05).결론 경십이지장치관감압술연합경공장조루삽관십이지장감압술치료십이지장창상수술감압효과현저,가명현강저십이지장루적발생,개선환자영양상황,촉진십이지장창구적유합.
Objective To observe the clinical effect of treatment of duodenal trauma intubation duodenal decompression jejunostomy jointly by the duodenal catheter decompression.Methods 60 patients with duodenal trauma were randomly divided into two groups,30 cases were treated with simple duodenal catheter decompression as control group,30 cases treated with duodenal catheter decompression joint jejunum ostomy intubation duodenal decompression as the observation group,generally observed two groups of patients surgery and postoperative complications,in the day of surgery and postoperative 7d evaluation of patients with nutritional status.Results The surgical time and blood loss of the two groups had no statistically significant difference(P＞0.05),the observation group had no case of duodenal fistula and four cases in the control group(13.33％)occumed duodenal fistula.The difference between the two groups was statistically significant(x2=4.286,P＜0.05).Postoperative concurrent abdominal abscess,lung infection,wound infection had no statistically significant differences(P＞0.05).After observation group 7d body mass and right upper arm muscle circumference stability was significantly higher than that in the control group(x2=7.519,9.868,both P＜0.05).Conclusion Jejunostomy joint duodenal catheter decompression intubation duodenal decompression in treatment of duodenal trauma surgical decompression had significant effect,can significantly reduce the incidence of fistula,improve patients nutritional status,promote the duodenal wound healing.
