中国实用外科杂志2025，Vol.45Issue(3)：299-304,6.DOI:10.19538/j.cjps.issn1005-2208.2025.03.12
肠空气瘘伴腹壁毁损外科重建策略
Surgical reconstruction strategies for enteroatmospheric fistula accompanied by abdominal wall defects
摘要
Abstract
Enteroatmospheric fistula(EAF)accompanied by abdominal wall defects represents a complex surgical complication that severely impacts patients'quality of life and prognosis.Its incidence ranges from 8％to 20％in cases involving an open abdomen and EAF is often associated with extensive damage to the abdominal wall tissues.The management of EAF relies on staged surgical strategies.The initial phase focuses on controlling the source of infection and stabilizing systemic conditions by improving drainage and antibiotic therapy to reduce intra-abdominal contamination and maintain fluid-electrolyte balance and nutritional support.The intermediate phase involves fistula management,employing techniques such as drainage,fistula occlusion,and negative pressure wound therapy to promote healing while minimizing infection and electrolyte disturbances.The definitive phase entails surgical reconstruction to restore intestinal continuity and abdominal wall integrity,with repair strategies tailored to the extent of tissue destruction.Emerging technologies,including 3D-printed enterocutaneous fistula stents,biological meshes,and smart materials,have demonstrated promising clinical potential.Studies indicate that personalized therapeutic protocols integrating advanced technologies significantly improve clinical outcomes,reduce complications,and enhance patients'survival rates and quality of life.Future advancements in technology are expected to enable more precise and individualized approaches to EAF management.关键词
腹腔开放/肠空气瘘/腹壁毁损/瘘口封堵/外科重建Key words
open abdomen/enteroatmospheric fistula/abdom-inal wall defects/fistula closure/surgical reconstruction分类
医药卫生引用本文复制引用
吴秀文,刘野,张锦鹏,任建安..肠空气瘘伴腹壁毁损外科重建策略[J].中国实用外科杂志,2025,45(3):299-304,6.基金项目
National Natural Science Foundation of China(No.82272237,No.82270595) （No.82272237,No.82270595）
Jiangsu Provincial Medical Innovation Center(No.CXZX202217) 国家自然科学基金项目(No.82272237,No.82270595) （No.CXZX202217）
江苏省医学创新中心项目(No.CXZZ202217) （No.CXZZ202217）
