持续冲洗低压负压引流术在肠道瘘治疗中的应用效果分析

Analysis of Application of the Effect of Continue Flushing Low Negative Pressure Drainage in the Treatment of intestinal Fistula

目的分析肠道瘘治疗中持续冲洗低压负压引流术的应用价值。方法以随机数字表法,将100例肠道瘘患者分为两组,每组各50例。对照组给予传统手术治疗,观察组给予持续冲洗低压负压引流治疗。分析两组治疗效果情况、瘘道愈合情况及二次手术情况。结果治疗前,两组引流量比较,差异无统计学意义(P>0.05)。治疗后,观察组引流量低于对照组(P<0.05)。同时,观察组肠道瘘愈合时间短于对照组(P<0.05),7 d愈合率高于对照组(P<0.05),而7 d二次手术率低于对照组(P<0.05)。结论在肠道瘘的治疗过程中,相对于传统手术治疗,持续冲洗低压负压引流治疗可在一定程度上提高临床治疗效果。

Objective To analyze the intestinal fistula treated develop application value of low negative pressure drainage continuously. Methods With random number table method, 100 cases of patients with intestinal fistula were divided into two groups, 50 cases in each group. Control group was given about conventional surgical treatment, observation group given continuous flushing low negative pressure drainage treatment. Analysis treatment effect, fistula healing and secondary surgery of two groups. Results There was no statistical difference of lead flow of two groups before treatment（P〈0.05）, the observation group lead flow was lower than control group after treatment（P〈0.05）. The observation group of intestinal fistula healing time was shorter than control group（P〈0.05）, 7 d healing rate was higher than control group（P〈0.05）, and 7 d second operation rate was lower than control group（P〈0.05）. Conclusion In the process of the treatment of intestinal fistula, compared with the traditional surgery, develop low negative pressure drainage treatment can continuously in a certain extent, improve the effect of clinical treatment.