负压引流在胃切除术后十二指肠残端瘘治疗中的应用  

Application of negative pressure drainage in the treatment of duodenal stump fistula after gastrectomy

作　　者：吴芳 杨红梅 陈振光 吴松阳 罗瑶 叶再元 Wu Fang;Yang Hongmei;Chen Zhenguang;Wu Songyang;Luo Yao;Ye Zaiyuan(Department of Gastrointestinal Surgery,Shulan(Hangzhou)Hospital,Hangzhou 330022,China)

机构地区：[1]树兰(杭州)医院胃肠外科,330022

出　　处：《中国医师杂志》2020年第6期815-817,共3页Journal of Chinese Physician

摘　　要：目的:探讨负压引流在胃切除术后十二指肠残端瘘治疗中的作用。方法:回顾性分析2016年1月至2020年1月本科收治的36例胃切除术后十二指肠残端瘘患者资料,根据发生肠瘘时患者的引流方式分为负压引流组(观察组)18例,常规橡胶管引流组(对照组)18例,观察两组患者的并发症发生率及肠瘘愈合时间。结果:观察组患者并发症发生率[5.56%(1/18)]与对照组[11.11%(2/18)]比较差异无统计学意义(P>0.05)。观察组患者肠瘘愈合时间[(12.83±6.25)d]与对照组[(23.33±4.64)d]比较差异有统计学意义(P<0.05)。结论:负压引流有利于十二指肠残端瘘的愈合,且未增加术后并发症的发生率,安全、有效,可常规用作胃切除术的引流。Objective To explore the role of negative pressure drainage in the treatment of duodenal stump fistula after gastrectomy.Methods The data of 36 patients with duodenal stump fistula admitted in our department from January 2016 to January 2020 were analyzed retrospectively.According to the drainage mode of patients with intestinal fistula,the patients were divided into negative pressure drainage group(observation group)and conventional rubber tube drainage group(control group),18 cases in each group.The incidence of complications and healing time of intestinal fistula in the two groups were observed.Results There was no significant difference(P>0.05)in the incidence of complications between the observation group(5.56%)and the control group(11.11%).There was a significant difference in the mean healing time between the observation group[(12.83±6.25)days]and the control group[(23.33±4.64)days](P<0.05).Conclusions Negative pressure drainage is beneficial to the healing of duodenal stump fistula,and does not improve the incidence of postoperative complications.It is safe and effective.It can be used as a conventional drainage for gastrectomy.

关 键 词：胃切除术 肠瘘 十二指肠疾病 负压伤口疗法 

分 类 号：R656.6[医药卫生—外科学]