摘要
目的探讨上消化道肿瘤术后留置胃肠减压时间与吻合口瘘发生、治愈间的关系,同时找出较合适的胃肠减压时间,以降低上消化道肿瘤术后吻合口瘘的发生率及已经发生吻合口瘘的治愈率。方法以1997年1月至2007年5月收治的患者为观察组,1986年1月至1996年12月收治的患者为对照组。观察组胃肠减压时间7￣10d,重点观察胃肠减压液色、性质、液量,查胃液常规、pH值,了解胃-食管返流情况。对照组遵医嘱术后持续胃肠减压24￣36h。结果观察组吻合口瘘发生率为0.47%,明显低于对照组3.85%,两组经χ2检验差异有统计学意义(P<0.01)。观察组吻合口瘘治愈率100%,对照组治愈率60.5%明显低于观察组。结论上消化道肿瘤切除术后适当延长胃肠减压时间,可明显降低术后吻合口瘘的发生率,也能提高已发生吻合口瘘的治愈率。
Objective To explore the relationship between the time of retained gastric intestinal decompression after the upper digestive tract cancer operation and occur of anastomose fistula and its recovery time, to find out suitable time of decompression their treatment and prevention. Methods The group of observation was the patients hospitalized from January 1997 to May 2007,and the control was the patients hospitalized from January 1987 to December 1996 in our hospital. Gastric intestinal decompression was conducted for 7~10 d, the color, quantity and quality of gastric intestinal fluid was observed, routine check and pH measure was done also. Gastric intestinal decompression was conducted for 24~36 h after operation. Result The occurrence rate of anastomose fistula in observation group was 0.47%, there is significant difference compared with control group (3.85%) (P<0.01). The recover rate in observation group is 100%, it's higher than that of control group (60.5%). Conclusion The occurrence rate of anastomose fistula could been reduced, and recovery rate improved by prolong the time of gastric intestinal decompression after the upper digestive tract cancer operation. It's simple, painless, practicable and easy popularize.
出处
《中国实用医药》
2007年第33期19-20,共2页
China Practical Medicine
关键词
上消化道肿瘤
外科治疗
胃肠减压
吻合口瘘
Upper digestive tract cancer
Operative therapy
Gastric intestinal decompression
Anastomose fistula
