摘要
目的 探讨重症急性胰腺炎术后胃肠道瘘的治疗方法。方法 对 1996～ 1999年间收治的 2 8例急性胰腺炎术后胃肠道瘘患者的临床资料进行回顾性分析。结果 给予生长抑素、生长激素治疗 ,经瘘流出液量显著减少 (P <0 .0 1)。全部患者均治愈 ,瘘愈合的平均时间为 (5 2± 16)d(2 4～2 2 7d)。 85 .7%的胃肠道瘘经非手术治疗痊愈。结论 绝大部分胰腺炎术后胃肠道瘘经非手术治疗可获痊愈 ,生长抑素、生长激素序贯治疗可显著加速瘘的愈合。
Objective To explore the means of treating postoperative gastrointestinal fistulas in patients with severe acute pancreatitis(SAP). Methods A retrospective study was carried out on the clinical data of 28 cases of postoperative gastrointestinal fistulas(PGF) in patients with severe acute pancreatitis admitted in our department between 1996 and 1999.Results The amount of drainage decreased significantly by using somatostatin(SS) and growth hormone(GH). All the patients were recovered, the average disappearred time of the fistula was (52±16) days(24～227 days).85.7% of the fistula were cured by non operative treatment.Conclusions Non-operative treatment is suitable to most of SAP patients with PGF. SS and GH can accelerate the healing of gastrointestinal fistulas.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第2期94-96,共3页
China Journal of General Surgery
关键词
重症急性胰腺炎
术后
胃肠道瘘
治疗
PANCREATITIS/surg
POSTOPERATIVE COMPLICATIONS
GASTRIC FISTULA/drug ther
INTESTINAL FISTULA/durg ther
SOMATOSTATIN/ther use
GROWTH HORMONE/ther use
