肠外瘘34例治疗分析  

Experience of treatment in 34 cases of intestinal fistula

作　　者：张锐利[1] 朱正练[1] 邱振明[1] 王敏[1] 

机构地区：[1]浙江台州医院外科,317000

出　　处：《中国基层医药》2004年第2期182-183,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　总结肠外瘘的外科治疗经验。方法　回顾性分析近 8年收治的 3 4例肠外瘘病人的临床资料。结果　 2 3例经非手术治疗治愈 ,2例行肠造口粪便转流术后治愈 ,4例早期手术治愈 ,3例后期手术治愈 ,死亡 2例。结论　非手术治疗在肠外瘘治疗中占主导作用 ,强调控制感染、加强营养支持、联合应用生长抑素、生长激素。随着全肠外、肠内营养支持的完善 ,生长抑素 ,特别是生长激素应用于临床 ,肠外瘘早期手术成为可能。ObjectiveTo summarize the clin ical experience of intestinal fistula and its surgical procedures.Method sClinical data of 34 patients with intestinal fistula from 1995 to 200 3 were analyzed retrospectively.ResultsTwenty-three cases wer e cured with nonoperation and two cases underwent diversion enterostomy,four cas es underwent early operation,three cases accepted later stage operation.Two case s died.ConclusionNonoperation played a dominative role in the treatment of intestinal fistula.The control of infection,nutrition support and t he combination use of somatostatin and growth hormone were emphasized.With the a pplication of interal and parenteral nutrition and somatostatin and growth hormo ne clinically,the intestinal fistula could be cured with early operation.

关 键 词：肠外瘘 外科治疗 肠造口粪便转流术 非手术疗法 营养支持 生长激素 

分 类 号：R656.7[医药卫生—外科学]