肠外瘘37例临床分析

Clinical Analysis of 37 Cases of Enterocutaneous Fistula

目的探讨肠外瘘的临床特点及其预后相关因素。方法对南昌市第一医院2012年12月至2022年10月收治的37例肠外瘘患者的临床资料进行回顾性分析。结果37例肠外瘘均发生于术后,其中治愈19例(51.4%),自动出院15例,死亡3例。19例治愈患者中自愈9例,手术治愈10例。治愈患者与未治愈患者的年龄、性别、肠外瘘诱因、肠外瘘部位比较差异无统计学意义(P>0.05),治愈患者的住院时间显著长于未治愈患者(P<0.05)。结论肠外瘘预后与治疗时间有关。治疗时明确肠外瘘诱因、解剖关系及选择合适的手术方式与时机,可改善肠外瘘的治疗效果。

Objective To explore the clinical characteristics and prognostic factors of enterocutaneous fistula(ECF).Methods The clinical data of 37 ECF patients admitted to Nanchang First Hospital from December 2012 to October 2022 were retrospectively analyzed.Results ECF occurred after operation in all the 37 patients.Among them,19(51.4%)were cured,15 were discharged voluntarily,and 3 died.Of the 19 cured patients,9 had spontaneous healing,and 10 underwent surgical treatment.There were no significant differences in age,gender,and cause and site of ECF between cured and uncured patients(P>0.05).The hospital day of cured patients was significant longer than that of uncured patients(P<0.05).Conclusion The treatment efficacy for ECF can be improved by determining the cause and anatomical relationship and selecting appropriate surgical procedure and opportunity.