胃肠道手术后肠外瘘42例临床分析

The Clinical Analysis of 42 Patients with Enterocutaneou After Alimentary Malignant Operation

目的:探讨肠外瘘的诊断及治疗措施。方法:对我院收治术后肠外瘘42例的临床资料进行回顾性分析。结果:手术治疗3例,其余39例采用非手术治疗。死亡2例,其余40例痊愈出院,治愈率为95%。结论:保持引流通畅,合理胃肠内、外营养、加强抗感染治疗,是非手术治疗肠外瘘的关键,大部分肠外瘘病人可以通过非手术治疗治愈。

Objective： To investigate the diagnosis and the treatment measures of the enterocutaneou fistula. Method： The clinical patients of 42 cases patients with enterocutaneou fistula were retrospectively analyzed. Result： 3 patients were treated by operation ; the other （ 39 ） were treated by conservative non - operative measures. 40 patients recovered while 2 died in 42 cases. The curing rate of the enterocutaneou fistula was 95 %. Condusion：The keeping of expedite drainage, rational applications of parenteral,enteral nutrition and powerful antibacterial treatment were keys for non -operative measures to treat the enterocutaneou fistula. Most patients suffered from the enterocutaneou fistula can recover by the measures of non - operative treatment.