双套管引流治疗肠外瘘——附15例报告

Clinical Application of Double Cannula to Treat Intestinal Fistula

目的:研究肠外瘘的病因、治疗方法、手术时机及其疗效。方法:将30例肠外瘘患者分为对照组和治疗组各15例,对照组给予传统方法治疗,治疗组同时放置"黎氏双套管"、持续冲洗负压引流、纤维蛋白胶封堵瘘管等综合治疗,对两组肠外瘘自愈时间、非手术肠外瘘愈合率、治愈率及死亡率进行比较。结果:肠外瘘治愈率治疗组(93.3%)优于对照组(60%),非手术肠外瘘愈合率治疗组(73.3%)优于对照组(33.3%),非手术治愈时间治疗组(24.1±4.5)d早于对照组(47.8±5.8)d,P<0.05。结论:肠外瘘采用"黎氏双套管"加纤维蛋白胶封堵瘘管的综合治疗方案,对于非手术治疗不成功者可择期行确定性手术治疗。

ObjectiveTo study the cause of disease, treatment, operative opportunity and therapeutic effectof the intestinal fistula.MethodsThirty patients with intestinal fistula were divided into two groups, controlgroup（n=15） and treatment group（n=15） were given routine treatment. The treatment group were additionally giv-en‘Lishi double cannulae＇continue negative pressure drainage and fibrin glue block fistula. The self-healingtime of intestinal fistula, healing rate of intestinal fistula with no-operation, cure rate and mortality of intestinalfistula were studied with the two groups.ResultsThe healing rate with no-operation and cure rate of intesti-nal fistula of treatment group was obviously larger than those of control group,but the self-healing time of intesti-nal fistula of treatment group was obviously less than that of control group, characterized with statistical differ-ence（P 0.05）.ConclusionThe comprehensive therapeutic schedule of‘Lishi double cannula ＇continuenegative pressure drainage and fibrin glue block fistula is important to treat intestinal fistula. After the conserva-tive treatment is unsuccessful, a definitive operation is necessary in a good time.