持续冲洗低压负压引流术治疗肠道瘘的效果分析

Effect Analysis of Continuous Irrigation Low-Negative Pressure Drainage in the Treatment of Intestinal Fistula

目的探讨肠道瘘应用传统手术及持续冲洗低压负压引流治疗的疗效差异。方法将2012年1-12月安康市中心医院暨安康职业技术学院附属医院收治的80例胃肠道术后并发肠道瘘的患者,按照随机数字表法分为传统手术治疗组和持续冲洗低压负压引流组,各40例,对比两组患者的治疗效果。结果持续冲洗低压负压引流组瘘愈合时间显著短于传统手术治疗组,差异有统计学意义（P〈0.05）。传统手术治疗组患者需二次行手术修补治疗的患者比例显著高于持续冲洗低压负压引流组（P〈0.05）。治疗后,传统手术治疗组与持续冲洗低压负压引流组的引流量均显著下降（P=0.000）,且持续冲洗低压负压引流组降低幅度较传统手术治疗组更显著（P〈0.05）。结论持续冲洗低压负压引流治疗肠道瘘可减少瘘愈合时间,降低二次手术率,减少治疗后引流量,疗效优于传统手术治疗。

Objective To investigate the curative effects of traditional surgery and continuous irrigation low negative pressure drainage on intestinal fistula. Methods A total of 80 patients with intestinal fistula after gastrointestinal surgery at Ankang Central Hospltal/Vocational and Technical College Affiliated Hospital during Jan. and Dec. ,2012 were divided into traditional surgery group and continuous irrigation low negative pressure drainage group according to random number table method ,40 eases in each group, and the therapeu tic effect of the two groups was compared. Results Fistula healing time of the continuous irrigation low-neg ative pressure drainage group was significantly shorter than the traditional surgery group with statistically sig nificant difference（ P 〈 0.05 ）. The proportion of needing a secondary surgical repair treatment of the traditional surgery group was significantly higher than the continuous irrigation low-negative pressure drainage group（P 〈0.05）. After treatment,the drainage amount of both groups were decreased significantly（P =0. 000）, and more significantly in the continuous irrigation low-negative pressure drainage group（ P 〈 0.05 ）. Conclu sion Continuous irrigation low-negative pressure drainage treatment of intestinal fistula can reduce the fistu la healing time, reduce the second operation rate, reduce postoperative drainage amount, i. e. better curative effect than the traditional surgery.