持续腹腔冲洗引流治疗消化道瘘

Persistent peritoneal lavage and drainage in the treatment of digestive tract fistula

目的探讨持续腹腔冲洗引流治疗术后消化道瘘的效果。方法2002年10月至2005年3月对12例术后消化道瘘病人在B超定位局麻下经皮穿刺置管或经原手术切口破溃处放置腹腔冲洗管和引流管,进行持续腹腔冲洗引流,同时给予营养支持治疗。结果全组病人的消化道瘘均治愈,瘘道愈合所需的平均时间为36d。治疗过程中,1例病人出现上消化道出血,另1例出现腹腔出血,无腹腔感染、皮肤破溃感染及脓毒症等并发症。结论持续腹腔冲洗引流是一种创伤小、简单有效的治疗术后消化道瘘的方法。

Objective To investigate the effectiveness of persistent peritoneal lavage and drainage in the treatment of fistula of digestive tract. Methods Double tubes were inserted into the peritoneal cavity via percutaneous puncture guided by B-type ultrasound or from the abdominal incision in 12 cases of digestive tract fistula between October 2002 and March 2005. Persistent peritoneal lavage and drainage and nutrition support were performed. Results All patients recovered after persistent peritoneal lavage and drainage. The average time of fistula healing was 36 days. Upper gastrointestinal bleeding occurred in one patient and another patient suffered from abdominal bleeding during persistent peritoneal lavage and drainage. No infection of abdomen or skin and septicemia happened. Conclusion Persistent peritoneal lavage and drainage is a minimal invasive and effective method in the treatment of digestive tract fistula.