论文部分内容阅读
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 investigate the relationship between postoperative gastrointestinal decompression time and occurrence and cure of anastomotic fistula in upper digestive tract tumor and to find more suitable decompression time of gastrointestinal tract in order to reduce the occurrence of anastomotic fistula after upper gastrointestinal tumor Rate and the incidence of anastomotic fistula has occurred. Methods From January 1997 to May 2007 patients admitted to the observation group, January 1986 to December 1996 were treated patients as control group. Observation group gastrointestinal decompression time 7 ~ 10d, focusing on observation of gastrointestinal decompression fluid color, nature, fluid volume, check the gastric juice routine, pH, to understand the stomach - esophageal reflux. The control group continued to postoperative gastrointestinal decompression 24 ~ 36h after surgery. Results The incidence of anastomotic fistula in observation group was 0.47%, which was significantly lower than that in control group (3.85%). There was significant difference between the two groups by χ2 test (P <0.01). Observation group anastomotic fistula cure rate 100%, 60.5% in the control group was significantly lower than the observation group. Conclusions The gastrointestinal decompression time can be prolonged after upper gastrointestinal tumor resection, which can significantly reduce the incidence of postoperative anastomotic fistula and also improve the cure rate of anastomotic fistula.