肠外瘘内镜与介入治疗的研究进展

Advances in Endoscopic and Interventional Treatment of Enterocutaneous Fistulas

肠外瘘是腹外科常见的一种严重并发症,临床多采用液体复苏、抗感染、营养支持、控制瘘出量、保护瘘口周围组织等非手术手段与手术治疗该病患者。近年来,随着内镜与介入技术的快速发展,肠外瘘的治疗方法不断更新,包括胶堵法、瘘道塞法、真空辅助闭合法、外置内镜夹(OTSC)吻合夹、支架、内镜下缝合法等。该研究对肠外瘘内镜与介入治疗的研究进展进行综述,以期为该病患者的临床治疗提供新的选择。

Enterocutaneous Fistula is a common serious complication of abdominal surgery.Clinically,the amount of treatment for enterocutaneous fistula is mainly fluid resuscitation,anti-infection,nutritional support,control of the amount of fistula,protect the tissue around,and the definitive surgery.In recent years,with the advancement and development of medical technology,the rapid development of endoscopy and interventional technology has given new options for the treatment of intestinal fistulas.The main methods are glue plugging,fistula plugging,vacuum assisted closure,OTSC anastomosis clips,Stents and endoscopic sutures have an important impact on the treatment of enterocutaneous fistulas.In this paper,the endoscopic and interventional treatment of enterocutaneous fistula will be described in order to advance new options for the clinical treatment of enterocutaneous fistula.