25例消化道瘘的临床分析  

Clinical analysis of 25 cases with digestive tract fistulas

作　　者：林志强[1] 俞武生[1] 叶振伟[1] 王在国[1] 胡夏荣[1] 何润沛[1] 

机构地区：[1]广东东莞市人民医院肿瘤外科,523018

出　　处：《岭南现代临床外科》2008年第3期196-197,200,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的总结25例消化道瘘的初步诊治经验。方法对25例消化道瘘的出现的时间、发生部位和原因、手术类型及治疗情况进行回顾性分析。结果术后至发生消化瘘的平均时间为4.8d,治愈率为92%,自愈率为80%,病死率为9%,手术成功率75%。结论术前纠正诱发因素,操作规范仔细,术后病因治疗是预防消化道瘘的关键。早期有效引流,控制感染,营养支持治疗,早期序贯应用生长抑素加生长激素,能有效提高消化瘘自愈率,降低病死率。Objective To summarize the elementary experience of diagnosis and treatment in 25 cases with digestive tract fistulas. Methods Clinical data of 25 patients with digestive tract fistulas were analyzed retrospectively, which included location, cause, time of occurrence, category of operation and therapeutic results. Results In these patients, the average time of operation to occurrence of digestive tract fistulas was 4.8 days. The cure rate, natural cure rate, mortality and successful rate of operation was 92%, 80%, 8% and 75% respectively. Conclusion Correcting preoperative induced factors,standardized and meticulous operation and postoperative etiological treatment are the keys to prevent and treat the digestive tract fistulas. Early effective drainage, controlling infection, nutritional support and early use of somatostatin and somatropin can effectively improve nature cure rate and reduce mortality.

关 键 词：消化道瘘 病因 预防 治疗 

分 类 号：R635[医药卫生—外科学]