结肠内置管治疗乙状结肠术后吻合口漏护理体会

Nursing of drainage with double catheters through anus on anastomic leaking after emergency sigmoid resection and primary anastomosis

目的 为了促进乙状结肠癌梗阻一期切除术后吻合口漏的愈合。方法 对 9例吻合口漏病人经肛门放置双引流管于吻合口上、下方 ,行有效引流治疗和精心护理。结果 9例病人均未采用结肠造瘘术 ,经非手术方法治愈。结论 经肛结肠腔内双管引流法配合精心的护理能够促进乙状结肠癌梗阻一期手术后吻合口漏的愈合 ,使病人避免接受结肠造瘘术治疗。

ObjectiveTo enhance the healing of anastomic leaking after stage-I resection in patients with sigmoid carcinomas.Methods Drainage with double perianastomotic proximal and distal catheters through anus was undertaken in 9 patients with sigmoid carcinomas. Effective drainage and careful nursing were performed.ResultsAnastomic leaking healed in those patients who did not undertake colonic anastomose.ConclusionDrainage with double perianastomic proximal and distal catheters via anus and careful nursing can enhance the healing of anastomic leaking after stage-I section in patients with sigmoid carcinomas. Thus, such patients can avoid receiving colonic anastomose.