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 李春伟 张恩勇 曾兴业 

机构地区：[1]浙江温州解放军第118医院,浙江温州325000

出　　处：《中国伤残医学》2014年第9期24-25,共2页Chinese Journal of Trauma and Disability 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～2012年10月我们完成器械吻合和缝合消化道手术1450例（2723次），发生吻合口及缝合口瘘12例，约占（0．83％），进行回顾性分析。结果：局部组织水肿6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 0ctomber 2012,1450 patients（2723 times） performed subtotal gastrointestinal tract anastomosed or closed by instrument 10 case （0.83%） with leakage in suture line of gestrointestinal tract after anastomosed or closed by instrument were review a -nalysised.Results：6 cases local tissue severe adema , 3 cases instrement malfunction and operating mistake in 3 case were found.Gastro-intestinal tract leakage after anastomosed or closed by instrument was related to choice on operating patient and condition of instrument , in 10 patients with leakage , 9 cases recover , 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：R615[医药卫生—外科学]