通下法治疗胆道多次手术后胆肠外瘘  

Treatment of External Bilio-Enteral Fistula Resulted from Reoperation on Biliary Tractwith Purgation Therapy

作　　者：张静喆[1] 朱培庭[1] 王以实[1] 沈平 

机构地区：[1]上海中医药大学龙华医院外科胆道疾病研究室,上海200032

出　　处：《中国中西医结合外科杂志》1996年第5期326-328,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：胆道多次手术导致胆肠外瘘之并发症时有发生,治疗上有相当难度。作者在治疗这类并发症中,除采用常规的“吸、堵、补”原则外,根据中医学“六腑以通为用”原理,加用通下中药治疗,发现能降低并发症,加速外瘘闭合,提高临床疗效。Because of the higher recurrence rate of choledocholithiasis in our country, reoperation on biliary tract remains clinical problem. The paper discussed the treatment of external bilio -enteral fistula, a severe complication resulted from reoperation on biliary tract. Ten patients with the complication were treated with purgation therapy according to the therapeutic principle of TCM besides conventional western therapy. The patients were cured with a hitch and all but one's fistula were healed within one month. The results of the ireatment showed that supplying purgation therapy to the treatment of external bilio-enteral fistula could promote patient's recovery and reduce their hospitalization time and morbidity as well.

关 键 词：通下法 胆道手术 胆肠外瘘 

分 类 号：R657.405[医药卫生—外科学] R269.35[医药卫生—临床医学]