十二指肠残端瘘的非手术治疗

临床普外科电子杂志 ›› 2021, Vol. 9 ›› Issue (3): 24-.

十二指肠残端瘘的非手术治疗

潍坊医学院附属平度市人民医院普外科，山东青岛 266700

出版日期:2021-07-01 发布日期:2021-09-24

Non-surgical treatment of duodenal stump fistula

Department of General Surgery of Pingdu People's Hospital Affiliated to Weifang Medical College, Qingdao 266700, Shandong

Online:2021-07-01 Published:2021-09-24

摘要/Abstract

摘要：

摘要：目的探讨十二指肠残端瘘的非手术治疗方法及效果。方法回顾性分析潍坊医学院附属平度市人民医院2006年1月至2019年12月收治的21例十二指肠残端瘘患者的临床资料，包括治疗过程及结果。结果 21例患者均采用保持腹腔引流通畅，及时行十二指肠腔内减压，抗感染、加强营养为主的非手术疗法，20例痊愈，1例因合并腹腔、尿路及肺部多发感染，死于多器官功能衰竭。结论非手术疗法对十二指肠残端瘘有效，且腹腔引流通畅是治疗的关键。

关键词: 十二指肠残端, 瘘, 非手术, 治疗

Abstract:

Abstract: Objective To explore the non-surgical treatment of duodenal stump fistula and its effect. Methods A retrospective analysis about clinical data was made on 21 cases of patients with duodenal stump fistula from January 2006 to December 2019 in Pingdu People's Hospital Affiliated to Weifang Medical College. Results 21 cases were treated with non-surgical treatment, 20 cases were cured, 1 case died of multiple organ failure due to multiple abdominal, urinary and pulmonary infections. Conclusion It is effective for duodenal stump fistula to keep the abdominal cavity drainage unobstructed, timely decompression of duodenal cavity, anti infection and strengthening nutrition in this study.

Key words: Duodenal stump, Fistula, Non-surgical, Treatment

于安星, 刘栋栋. 十二指肠残端瘘的非手术治疗 [J]. 临床普外科电子杂志, 2021, 9(3): 24-.

YU Anxing, LIU Dongdong. Non-surgical treatment of duodenal stump fistula [J]. Journal of General Surgery for Clinicians, 2021, 9(3): 24-.

[1]	孙海燕, 秦少华, 赵堂海, 高学群, 马韦韦, 王红娟, 于洁, 王美力. 38例急性肠系膜上动脉缺血腔内介入治疗的围手术期护理 [J]. 临床普外科电子杂志, 2021, 9(3): 52-.
[2]	何耀明, 王成兴, 梁伟俊, 赵景林. 改良经括约肌间瘘管结扎术治疗经括约肌型肛瘘的临床疗效观察 [J]. 临床普外科电子杂志, 2021, 9(2): 19-.
[3]	王成兴, 李晓平, 赵景林, 李尚仁, 谭群英, 何耀明. 经括约肌间入路治疗马蹄形肛周脓肿的临床疗效观察 [J]. 临床普外科电子杂志, 2021, 9(2): 24-.
[4]	袁加琪, 陈小彬, 侯立朝. 外科治疗在胰腺导管内乳头状黏液性肿瘤的研究进展 [J]. 临床普外科电子杂志, 2021, 9(2): 28-.
[5]	王龙辉, 刘群亮, 周云鹏. 急性重症胰腺炎临床诊治技术研究进展[J]. 临床普外科电子杂志, 2019, 7(4): 30-.