负压辅助冲洗引流在肠外瘘伤口管理中的应用效果  

Negative Pressure Drainage-assisted Irrigation in Wound Management of Intestinal Fistulas

作　　者：邓鹏[1] 何平 任超 熊隆信 DENG Peng;HE Ping;REN Chao;XIONG Long-xin(Department of Gastrointestinal Surgery,The First Hospital of Nanchang,Nanchang 330008,China;Department of General Surgery,the Ninth Hospital of Nanchang(Nanchang Central Hospital),Nanchang 330046,China)

机构地区：[1]南昌市第一医院胃肠外科,南昌330008 [2]南昌市第九医院(南昌市中心医院)普外科,南昌330046

出　　处：《实用临床医学（江西）》2024年第1期23-25,94,共4页Practical Clinical Medicine

基　　金：江西省卫生健康委科技计划项目(202140016);南昌市科技支撑重点项目(洪科字[2020]133)。

摘　　要：目的探讨负压辅助冲洗引流在肠外瘘伤口管理中的应用效果。方法对南昌市第一医院2012年8月至2023年8月收治的22例采用负压辅助冲洗引流进行伤口管理的肠外瘘患者的临床资料进行回顾性分析。结果22例患者经负压辅助冲洗引流治疗后治愈19例(86.4%),其中瘘口自行闭合9例、经手术治疗痊愈10例;死亡2例,其中1例为高流量瘘、1例因肿瘤复发自发肠外瘘。22例患者治疗后白细胞、中性粒细胞计数均较治疗前显著降低(P<0.01)。结论负压辅助冲洗引流能有效管理肠外瘘伤口,促进感染恢复。Objective To investigate the effect of negative pressure drainage-assisted irrigation in wound management of intestinal fistulas.Methods The clinical data of 22 patients with intestinal fistulas admitted to the First Hospital of Nanchang from August 2012 to August 2023 who underwent negative pressure drainage-assisted irrigation for wound management were retrospectively analyzed.Results 22 patients were treated with negative pressure drainage-assisted irrigation:19 patients(86.4%)were ultimately cured;9 fistulas closed on their own;10 were cured by surgical treatment;there were 2 deaths,of which one was a high-flow fistula and the other was a spontaneous extra-intestinal fistula due to tumor recurrence.The counts of leukocytes and neutrophils of the 22 patients were significantly lower than those before the treatment(P<0.01).Conclusion Negative pressure drainage-assisted irrigation maybe effective in managing wound and promoting recovery from infection.

关 键 词：肠外瘘 伤口管理 负压辅助冲洗引流 

分 类 号：R656[医药卫生—外科学]