医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
16期
154-155,156
,共3页
刘兴东%赖景奎%曾鹏%张得春%熊昌玖%郝玉英
劉興東%賴景奎%曾鵬%張得春%熊昌玖%郝玉英
류흥동%뢰경규%증붕%장득춘%웅창구%학옥영
肠外瘘%双套管%医用蛋白胶%封堵%引流
腸外瘺%雙套管%醫用蛋白膠%封堵%引流
장외루%쌍투관%의용단백효%봉도%인류
Enterocutaneous fistula%Double casing%Medical fibrin glue%Closure%Drainage
目的：探讨肠外瘘患者放置腹腔双套管持续冲洗引流并联合纤维蛋白胶封堵肠外瘘瘘管的可行性及安全性。方法：回顾近三年来我院20例肠外瘘病人进行以瘘管内置双套管冲洗引流、纤维蛋白胶封堵为主的综合性治疗效果及成功率。结果：纤维蛋白胶封堵20例肠外瘘，其中低位直肠切除吻合口瘘10例，小肠结肠吻合口瘘2例，小肠损伤后瘘3例，胃肠吻合口瘘4例愈合，胰十二指残端瘘1例失败。结论：应用双套管持续冲洗引流并联合纤维蛋白胶封堵瘘管治疗肠外瘘具有安全有效，简单易行，创伤小，住院时间短的优点，特别适用于低位直肠吻合口瘘。
目的：探討腸外瘺患者放置腹腔雙套管持續遲洗引流併聯閤纖維蛋白膠封堵腸外瘺瘺管的可行性及安全性。方法：迴顧近三年來我院20例腸外瘺病人進行以瘺管內置雙套管遲洗引流、纖維蛋白膠封堵為主的綜閤性治療效果及成功率。結果：纖維蛋白膠封堵20例腸外瘺，其中低位直腸切除吻閤口瘺10例，小腸結腸吻閤口瘺2例，小腸損傷後瘺3例，胃腸吻閤口瘺4例愈閤，胰十二指殘耑瘺1例失敗。結論：應用雙套管持續遲洗引流併聯閤纖維蛋白膠封堵瘺管治療腸外瘺具有安全有效，簡單易行，創傷小，住院時間短的優點，特彆適用于低位直腸吻閤口瘺。
목적：탐토장외루환자방치복강쌍투관지속충세인류병연합섬유단백효봉도장외루루관적가행성급안전성。방법：회고근삼년래아원20례장외루병인진행이루관내치쌍투관충세인류、섬유단백효봉도위주적종합성치료효과급성공솔。결과：섬유단백효봉도20례장외루，기중저위직장절제문합구루10례，소장결장문합구루2례，소장손상후루3례，위장문합구루4례유합，이십이지잔단루1례실패。결론：응용쌍투관지속충세인류병연합섬유단백효봉도루관치료장외루구유안전유효，간단역행，창상소，주원시간단적우점，특별괄용우저위직장문합구루。
Objective To investigate the intestinal fistula placement celiac double casing continuous irrigation and drainage combined with fibrin glue closure of enterocutaneous fistula fistula feasibility and safety.Methods Retrospective past three years in our hospital 15 cases of intestinal fistula patient safety and feasibility of fistula drainage built-in dual flush casing, fibrin glue plugging based comprehensive treatment.Results 20 cases of fibrin glue closure of enterocutaneous fistula, including low rectal resection anastomotic leakage 10 cases, intestinal colonic anastomotic fistula 5 cases, 4 cases of gastrointestinal anastomotic fistula, and 1 case of pancreatic duodenal stump fistula failure .Conclusion Application of double casing advantage continuous irrigation and drainage combined with fibrin glue closure of enterocutaneous fistula fistula treatment is safe and effective, simple, shorter hospital stay, and is especially suitable for low rectal anastomotic fistula.
