蝶形胶带腹外加压法在切口裂开伴肠瘘治疗中的应用

The application of abdominal external impressing with butterfly tape in the treatment of postoperative disruption of incision with intestinal fistula

目的探讨术后切口裂开伴肠瘘形成的病因和腹外蝶形胶带加压法治疗效果。方法回顾性分析山东德州市第二人民医院2005年至2015年间出现的5例术后切口裂开伴肠瘘患者的临床资料。结果通过常规治疗和腹外蝶形胶带加压法治疗,治愈4例,未愈1例。结论术后切口裂开伴肠瘘是一种罕见且严重的并发症,重在病因上预防,一旦发生,在采用常规治疗的基础上,采用腹外蝶形胶带加压法,可缩短治疗时间。

Objective To investigate the causes of postoperative disruption of incision with intestinal fistula and the therapeutic effect of the external abdominal impressing with butterfly tape. Methods The clinical data of 5 patients with disruption of incision and intestinal fistula after operation in The Second People＇s Hospital of Dezhou City from 2005 to 2015 were analyzed retrospectively. Results By routine treatment and abdominal external impressing with butterfly tape, 4 cases were cured, 1 case was not healed. Conclusion The disruption of incision with intestinal fistula is a rare and serious complication, focusing on etiological prevention. Once occured, based on the conventional treatment, the abdominal external impressing with butterfly tape can shorten the treatment time.