器械缝合消化道术后吻合口及缝合口瘘的防治  

The Prevention and Treatment of Leakage Gastrointestinal Tract after Anastomosed or Closed by Instrument

作　　者：梅文杰[1] 张恩勇[1] 卓阳[1] 曾兴业[1] 方永昌[1] 

机构地区：[1]解放军第113医院温州分院,浙江温州325000

出　　处：《中华临床医学杂志》2008年第7期25-26,共2页Chinese Journal of Clinical Practical Medicine

摘　　要：目的减少器械吻合和缝合消化道术后并发吻合口及缝合口瘘的发生率。方法从1985年7月-2007年5月我们完成器械吻合和缝合消化道手术1360例（2563次），发生吻合口及缝合口瘘10例约占（0．73％），进行回顾性分析。结果局部组织水肿4例，器械故障3例，术者操作不当3例。器械吻合和缝合消化道术后并发瘘直接与术者操作、器械情况、适应证选择有关，术后并发瘘者1例死亡，其余经治疗获愈。结论器械吻合和缝合消化道只要正确操作、正确选择适应证仍具有许多优越性，消化道的吻合口和缝合口瘘可以预防。Objective To reduce the rate of leakage in suture line of gastrointestinal tract after anastomosed or closed by instrument. Methods From July 1985 to May 2007, 1360 patients（2563 times） performed subtotal gastrointestinal tract anastomosed or closed by instrument 10 cases（0.73%） with leakage in suture line of gestrointestinal tract after anastomosed or closed by instrument were review analysised.Results 4 cases local tissue severe adema, 3 cases intrument malfunction and operating mistake in 3 cases were found. Gastrointestinal tract leakage after anastomosed or closed by instrument was related to choicing on opterating patient and condition of instrument, in 10 patients with leakage, 9 cases recoverd, and 1 case died. Conclusion Gastrointestinal tract after anastomosed or closed by instrument may be prevented in the case of correct operating and good instrument and correct choice patients.

关 键 词：器械缝合 消化道 吻合口及缝合口瘘 

分 类 号：R656[医药卫生—外科学]