食管、胃术后消化道瘘导致腹腔脓肿的诊断和治疗  

Diagnosis and surgical treatment of intra-abdominal abscess due to postoperative fistula on esophagus and stomach operation

作　　者：谢胜学[1] 刘志宁[1] 周连帮[1] 汪泳[1] 万圣云[1] 耿小平[1] 

机构地区：[1]安徽医科大学第二附属医院普通外科

出　　处：《安徽医药》2010年第10期1163-1164,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨食管、胃手术后瘘导致腹腔脓肿的诊断和治疗。方法自2008年11月至2009年12月诊治食管、胃手术术后瘘导致的腹腔脓肿7例,由于病人情况不同经不同方式予以治疗。结果 7例中有5例治愈,1例死亡,1例自动出院。结论食管、胃手术后瘘导致腹腔脓肿临床上并非罕见,腹部CT扫描对明确诊断和制定手术方案十分重要,开腹脓肿引流术、空肠造瘘置管为较好的外科手术方法,充分引流、充分营养支持、有效抗生素和加强监护治疗是重要的治疗手段。Aim To investigate the diagnosis and surgical treatment of intra-abdominal abscess due to the digestive fistula after operation on esophagus and stomach.Methods The clinical data of 7 cases with intra-abdominal abscess due to the digestive fistula after opera-tion on esophagus and stomach between Nov.2008 and Dec.2009 were retrospectively analyzed.Results Five cases recovered and two cases died after different treatment.Conclusion The incidence of intra-abdominal abscess due to the digestive fistula after operation on esophagus and stomach is not very low.Abdominal CT scanning is very important to diagnosis and treatment.Drainage of the abscess by surgical operation adding to putting nutrient canal into intestine by jejunum fistulation is more effective therapeutic method.Nutritional support,use of antibiotics,and intensive care are basic ways of treatments.

关 键 词：腹腔脓肿 手术后瘘 

分 类 号：R656[医药卫生—外科学]