肠瘘采用改良双套管持续冲洗负压吸引治疗的效果探讨

Effect of Continuous Irrigation and Negative-pressure Suction Treatment with Improved Double Catheterization Cannula on Intestinal Fistula

目的探究在肠瘘的治疗中改良双套管持续冲洗负压吸引治疗的临床应用效果。方法整群选取2013年6月—2015年5月在该院治疗的肠瘘患者98例,按照随机分组原则将肠瘘患者分为对照组和治疗组各49例,对照组患者采取常规的单腔引流治疗,治疗组患者则采用改良双套管持续冲洗负压吸引治疗,对比两组患者的治疗相关指标。结果治疗组患者的引流液量、吻合口狭窄发生率、再手术率以及住院时长指标均显著低于对照组,差异有统计学意义(P<0.05)。结论在肠瘘的临床治疗中应用改良双套管进行持续冲洗负压吸引治疗能够显著改善患者的临床治疗效果,优化患者临床相关指标,缩短住院时长,值得在临床上推广应用。

Objective To explore the application effect of continuous irrigation and negative-pressure suction treatment with improved double catheterization cannula on intestinal fistula. Methods 98 patients with intestinal fistula treated in our hospital from June 2013 to May 2015 were selected and randomized into the control group and the treatment group with 49 cases in each. Patients in the control group were treated by the conventional single cavity drainage, and those in the treatment group were treated by the continuous irrigation and negative-pressure suction treatment with improved double catheterization cannula. And the treatment indexes of the two groups were compared. Results Compared with the control group, the treatment group had much less drainage volume, obviously lower incidence of anastomotic stenosis, substantially lower reoperation rate and significantly shorter length of stay with statistically significant difference（P〈0.05）. Conclusion In the clinical treatment of intestinal fistula, continuous irrigation and negative-pressure suction treatment with improved double catheterization cannula can significantly improve the clinical treatment effect, optimize the clinical related indicators and shorten the length of stay, so it is worth clinical popularization and application.