论文部分内容阅读
目的：探讨肠外瘘患者放置腹腔双套管持续冲洗引流并联合纤维蛋白胶封堵肠外瘘瘘管的可行性及安全性。方法：回顾近三年来我院20例肠外瘘病人进行以瘘管内置双套管冲洗引流、纤维蛋白胶封堵为主的综合性治疗效果及成功率。结果：纤维蛋白胶封堵20例肠外瘘，其中低位直肠切除吻合口瘘10例，小肠结肠吻合口瘘2例，小肠损伤后瘘3例，胃肠吻合口瘘4例愈合，胰十二指残端瘘1例失败。结论：应用双套管持续冲洗引流并联合纤维蛋白胶封堵瘘管治疗肠外瘘具有安全有效，简单易行，创伤小，住院时间短的优点，特别适用于低位直肠吻合口瘘。“,”Objective To investigate the intestinal fistula placement celiac double casing continuous irrigation and drainagecombined with fibrin glue closure of enterocutaneous fistula fistula feasibility and safety.Methods Retrospective past three years in our hospital 15 cases of intestinal fistula patient safety and feasibility of fistula drainage built-in dual flush casing, fibrin glue plugging based comprehensive treatment.Results 20 cases of fibrin glue closure of enterocutaneous fistula, including low rectal resection anastomotic leakage 10 cases, intestinal colonic anastomotic fistula 5 cases, 4 cases of gastrointestinal anastomotic fistula, and 1 case of pancreatic duodenal stump fistula failure .Conclusion Application of double casing advantage continuous irrigation and drainage combined with fibrin glue closure of enterocutaneous fistula fistula treatment is safe and effective, simple, shorter hospital stay, and is especially suitable for low rectal anastomotic fistula.