经鼻双置管法治疗胸内食管胃吻合口瘘的临床研究  

Nasal double catheterization for the treatment of intrathoracic gastroesophageal anastomotic fistula

作　　者：陈建[1] 郑建[1] 江吕泉[1] 吴昊[1] 陈林松[1] 

机构地区：[1]武警江苏省总队医院胸外科,江苏扬州225003

出　　处：《中国现代医学杂志》2013年第9期73-76,共4页China Journal of Modern Medicine

摘　　要：目的探讨经鼻双置管法治疗胸内食管胃吻合口瘘的应用价值。方法 25例明确诊断为胸内食管胃吻合口瘘的患者分为治疗组与对照组,治疗组(n=13)采用经鼻置入空肠营养管进行肠内营养支持,置入瘘腔引流管进行负压吸引,对照组(n=12)采用传统"胃管+胸管+空肠造瘘管"治疗,对两组稳定时间、治愈时间、死亡率、胸管放置时间及数量进行比较。结果采用经鼻双置管法治疗组的稳定时间、治愈时间、胸管放置时间及数量均低于对照组(P<0.05),两组死亡率差异无显著性。结论经鼻置入空肠营养管+瘘腔引流管治疗胸内食管胃吻合口瘘安全、有效。【Objective】 To evaluate the clinical application of the nasal double catheterization for the treatment of intrathoracic esophagogastric anastomotic fistula.【Methods】 A total of 25 patients with confirmed intrathoracic esophagogastric anastomotic fistula were divided into treatment group（n =13） and control group（n =12）.The nutritious tube and the drainage tube for fistula cavity were inserted through nasal cavity in treatment group,and the traditional ＂stomach tube＋chest tube＋jejunum fistula＂ were used in control group.The stability time,cure time,mortality,and chest tube placement time and quantity were compared.【Results】 The stability time,cure time,chest tube placement time and quantity were significantly difference between two groups（P ＆lt;0.05）,no statistically difference existed in mortality between two groups.【Conclusion】 Nasal double catheterization for the treatment of intrathoracic gastroesophageal anastomotic fistula is safe and effective.

关 键 词：吻合口瘘 营养管 瘘腔引流管 

分 类 号：R735.1[医药卫生—肿瘤]