摘要
目的分析介入置管在食道癌术后吻合口瘘保守治疗中的效果。方法选择我院收治的24例食道癌术后出现吻合口瘘并发症的患者作为研究对象进行分析,患者均行介入置管治疗,观察患者的治疗效果。结果 22例行空肠营养管、胃肠减压管、瘘口引流管三管治疗的患者中,有21例治愈,另外1例患者由于严重感染而死亡。放置瘘口封堵支架进行治疗的2例患者也治愈,患者恢复进食所用时间为(18.0±8.2)d,平均住院时间为(32.0±10.4)d,并发症发生率为20.0%。结论介入置管的保守治疗在食道癌术后吻合口瘘并发症患者中的应用具有较好效果,可以解决并发症问题,与手术治疗相比,可以有效解决吻合口操作空间小、避免感染与血液供应障碍等问题,创伤性更小,患者的耐受性更好,患者瘘口愈合更快,病程得以有效缩短。
Objective To analysis the treatment effect of interventional catheter in conservative treatment of esophageal cancer postoperative anastomotic fistula. Methods 24 cases of esophageal cancer patients who occurred postoperative complications of anastomotic fistula admitted by our hospital were selected as the research object, carried out interventional catheter conservative treatment and then the treatment effect. was observed. Results 21 cases were cured that treated by jejunum nutrition tube, gastrointestinal decompression tube and the stoma drainage tube.1 patient dead because of serious infections.2 patients were cured by placing the stoma block stents for treatment. The average time of recover eating was （18.0±8.2） days, the average length of hospital stay was （32.0±10.4） days. The incidence of complications was 20.0%. Conclusion It has good effect that use interventional catheter conservative treatment to treat esophageal cancer postoperative anastomotic fistula. Because it can effectively solve the problem of complications and little operation space, avoid infection and blood supply obstacles, less traumatic, and patients’tolerance is better, shorten the duration.
出处
《中国医药科学》
2014年第21期217-218,共2页
China Medicine And Pharmacy
关键词
吻合口瘘
保守治疗
引流
脓腔
Anastomotic fistula
Conservative treatment
Drainage
The pus cavity
