肠外瘘治疗进展  

Advances in Treatment of Enterocutaneous Fistula

作　　者：韩尚志 文坤明 HAN Shangzhi;WEN Kunming(Department of Gastrointestinal Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,China)

机构地区：[1]遵义医科大学附属医院胃肠外科,贵州遵义563000

出　　处：《医学综述》2020年第4期766-770,776,共6页Medical Recapitulate

摘　　要：肠外瘘是腹部外科一种常见的、治疗复杂的并发症,具有较高的发病率和病死率。目前,肠外瘘的治疗方法包括保守治疗、介入内镜治疗和确定性手术治疗。肠外瘘患者一经诊断,需立即给予积极的保守治疗,部分低输出瘘可自发愈合。未愈合的患者需明确瘘的部位、解剖特点。肠管远端通畅、腹腔内无其他异常阻碍肠外瘘愈合的患者可采取合理的介入内镜治疗。确定性手术治疗是保守治疗或介入内镜治疗失败的患者治愈的唯一措施。不同治疗方法的时机略有不同。Enterocutaneous fistula is a common complication of abdominal surgery with complex treatment and high morbidity and mortality. Currently,treatments for enterocutaneous fistula include: conservative treatment,interventional endoscopic treatment,and definitive surgery. Positive conservative treatment should be given immediately once diagnosed,and some patients with low drainage can heal spontaneously. The site of the fistula and anatomical features should be identified in patients without self-healing. Patients can be treated with reasonable interventional endoscopy if the distal end of the intestine is unobstructed and there is no abnormal obstruction in the abdominal cavity. The definitive surgical treatment is the only cure for patients who failed conservative treatment or interventional endoscopic treatment. The timing of different treatment methods is slightly different.

关 键 词：肠外瘘 保守治疗 介入内镜治疗 确定性手术 

分 类 号：R656[医药卫生—外科学]