腹部手术后肠外瘘26例临床治疗分析

Clinical treatment analysis of 26 cases with enterocutaneous fistula after abdominal operation

目的分析腹部手术后肠外瘘患者的临床资料,总结降低肠外瘘病死率的经验。方法分析26例患者的一般资料、原发疾病、致瘘的原因、瘘的基本情况以及肠外瘘的发生和治愈情况。结果 2006年3月～2011年10月我院有26例患者发生肠外瘘,发生率为0.99%(26/2627);2例患者死亡,病死率7.69%(2/26),治愈率92.31%(24/26)。结论采用禁食、营养支持治疗、引流和感染控制、生长抑素和生长激素序贯治疗、适时施行手术治疗等多项措施可有效治疗肠外瘘。

Objective To summarize the experience of decreasing the mortality rate of enterocutaneous fistula by analyzing clinical treatment materials of enterocutaneous fistula after abdominal operation. Methods General information, primary disease, the fistula cause, fistula general information, fistula incidence and cure rates of 26 patients were analyzed. Results Enterocutaneous fistula incidence rate in our hospital was 0.99% , the fatality rate was 7.69% and the cure rate of enterocutaneous fistula was 92.31%. Conclusion Therapeutic measures such as fasting, nutritional support treatment, drainage and infection control, somatostatin and sequential. therapy with growth hormone and timely operation are effective in the treatment of enterocutaneous fistula.