中国现代手术学杂志2011，Vol.15Issue(6)：424-426,3.
肠瘘的外科治疗(附42例报告)
Surgical Treatment for Enterocutaneous Fistulae (42 Cases Report)
汤浩 1孙健 1吴登峰1
作者信息
- 1. 江苏省无锡市人民医院胃肠外科,无锡214023
- 折叠
摘要
Abstract
Objective To discuss the clinical effects of surgical treatment for enterocutaneous fistulae (ECF). Methods Records were reviewed of 42 ECF patients in who 40 was caused by gastrointestinal surger-y. There were 20(47.6% ) of high output( >500 ml/d)and 22(52.4% )of low output( <500ml/d). 17 patients received expectant treatment and the other 25 cases received definitive operation. Results In the conservative group of 17 cases, 12 cases (70.6% ) cured, 4 cases were automatic discharged and 1 died. In the surgical treatment group of 25 cases, 21 cases (84% ) cured, 2 cases were automatic discharged and 2 died. Comparison of the two groups of cure rate and mortality showed no statistically significant differences (P > 0. 05). In the 10 early definitive surgery patients, 4(40% ) recurred. And in the 15 late definitive surgery patients, 2 cases (13.3%) recurred (P = 0.12). Since the date of finding ECF, the average hospital stay was (198.5 ±35.6) d vs. (122.4±45.2) d of conservative group and surgical group respectively (P < 0.05). And the average stay was (88.5 ± 25.1) d vs. (168.5 ±65.9) d in the early and late definitive surgery group respectively (P < 0.05). Conclusion On the premise of strict control indications, early definitive surgery is feasible in patients with ECF which can reduce the patients' hospital stay and get better clinical results.关键词
肠瘘/外科手术/手术后并发症Key words
intestinal fistula/surgical procedure/postoperative complication分类
医药卫生引用本文复制引用
汤浩,孙健,吴登峰..肠瘘的外科治疗(附42例报告)[J].中国现代手术学杂志,2011,15(6):424-426,3.
