目的探讨腹腔双套管持续冲洗引流治疗结直肠吻合口瘘的效果，促进其临床推广应用。方法对29例结直肠手术后并发吻合口瘘的患者给予腹腔双套管生理盐水灌洗，低负压吸引引流治疗。结果29例患者给予腹腔双套管持续引流后15～25d（平均22.5d）后均痊愈出院，随访3个月以上，未见吻合口狭窄及肠梗阻等并发症。结论腹腔双套管持续冲洗引流简单易行，是治疗结直肠吻合口瘘的有效措施。%Objective To examine the outcomes of continuous irrigation and drainage by abdominal double-cannula in management of colorectal anastomotic stoma fistula for wider clinical application. Methods 29 cases of anastomotic stoma fistula of colorectal were treated by continuous abdominal double-cannula lavage and low negative pressure drainage. Results 29 patients discharged from the hospital,who were treated by continuous abdominal double-cannula lavage and drainage for15~25 days, on average of 22.5 days. No complications of anastomotic stoma constriction or intestinal obstruction were found during 3 month follow-up. Conclusion Continuous abdominal double-cannula lavage and drainage are easy to conduct, which are the effective way to treat the anastomotic stoma fistula of colorectal.
展开▼
