不同方法治疗胃肠手术后并发肠瘘的效果比较研究

Comparative Study on the Effects of Different Methods in the Treatment of Intestinal Fistula after Gastrointestinal Surgery

目的分析不同方法治疗胃肠手术后并发肠瘘的效果。方法选取我院2009年1月至2017年6月收治的胃肠手术后并发肠瘘的40例患者,分为研究组与常规组,各20例。常规组给予保守治疗,研究组给予手术治疗。分析比较两组患者的临床效果和术后并发症情况。结果两组的临床总有效率比较差异无统计学意义(P>0.05)。研究组的并发症发生率为10.0%,明显低于常规组的40.0%,差异有统计学意义(P<0.05)。结论针对胃肠手术后并发肠瘘患者,应在患者实际病情基础上采用合理方法治疗,以提高临床治疗总有效率,但手术治疗能够降低并发症发生率,提高安全性。

Objective To analyze the effects of different methods in the treatment of intestinal fistula after gastrointestinal surgery. Methods 40 cases of patients with intestinal fistula after gastrointestinal surgery admitted to our hospital from January 2009 to June 2017 were selected and divided into study group and routine group, with 20 cases in each group. The routine group received conservative treatment, while the study group was given surgical treatment. The clinical effect and postoperative complications were analyzed and compared between the two groups. Results No statistical difference was found in the clinical total effective rate between the two groups （P 〉0.05）. The incidence of complications of the study group was 10.0%, significantly lower than 40.0% of the routine group, with statistical difference （P〈0.05）. Conclusions For patients with intestinal fistula after gastrointestinal surgery, reasonable method should be taken on the basis of patients＇ actual condition to improve the total effective rate of clinical treatment, but surgical treatment can reduce the incidence of complications and improve the safety.