经鼻、吻合口负压吸引联合肠内营养支持治疗贲门癌术后胸腔瘘的疗效观察-东南大学学报医学版

经鼻、吻合口负压吸引联合肠内营养支持治疗贲门癌术后胸腔瘘的疗效观察

单位：1. 南京中医药大学附属张家港中医医院普外科, 江苏张家港 215600;
2. 南京中医药大学附属江苏省中医院肿瘤外科, 江苏南京 210029

分类号：R605

出版年·卷·期（页码）：2015·34·第二期（208-210）

摘要：

目的:观察经鼻、吻合口持续负压吸引治疗贲门癌术后胸腔瘘的有效性及安全性.方法:介入下经X线引导,将胃管经鼻通过吻合口的瘘口置入脓腔内,接负压持续吸引,同期置入十二指肠或空肠营养管进行营养支持.结果:运用此方法可以缩短患者愈合时间,且无明显并发症.结论:早期应用经鼻、吻合口负压吸引治疗贲门癌术后胸腔瘘具有较好的疗效及较高的安全性.

Objective: To observe the efficacy and safety of the effect of the treatment of thoracic cavity fistula after resection of cardiac cancer via negative pressure aspirator through the nose and anastomosis combined with enteral nutrition.Methods: Place the stomach tube in the vomica guided by X-ray intervention through anastomosis,connected with the negative pressure continued to attract, over the same period place the duodenum or jejunum nutrition tube for nutrition support.Results: This treatment method could shorten the healing time of patients, and had no obvious complications.Conclusion: The early use of negative pressure aspirator through the nose and anastomosis combined with enteral nutrition contribute is better effect and safety.

参考文献：

[1] 杨光煜,李俊秀,王平凡,等.老年人胸内食管胃吻合口瘘与早期呼吸衰竭[J].中华胸心血管外科杂志,2000,16(2):107-108.
[2] TURKYILMAZ A,EROGLU A,AYDIN Y,et al.The management of esophagogastric anastomotic leak after esophagectomy for esophageal carcinoma[J].Dis Esophagus,2009,22(2):119-126.
[3] 邵令方,工其彰.新编食管外科学[M].石家庄:河北科学技术出版社,2002:669-670.
[4] 张蕾,张晓膺,刘宁,等.食管癌和贲门癌术后吻合口瘘的治疗体会[J].东南大学学报:医学版,2002,21(3):253-254.
[5] 王瑞,王增林,陈宇,等.治疗食管胃吻合口瘘时的逆行胸胃减压术[J].中华胸心血管外科杂志,1997,13(3):142.
[6] 汲克强,赵善东,赵德元,等.四管法治疗食管癌切除术后胸内吻合口瘘[J].中国胸心血管外科临床杂志,1999,6(1):44-45.
[7] 徐丹华.四管法治疗食管、贲门切除术后胸内吻合瘘的护理体会[J].右江医学,2003,31(5):513.
[8] BARLOW R,PRICE P,REID T D,et al.Prospective multicentre randomised controlled trial of early enteral nutrition for patients undergoing major upper gastrointestinal surgical resection[J]. Clin Nutr, 2011,30(5):560-566.
[9] 江志伟,黎介寿,李宁.恶性肿瘤病人的肠内营养支持治疗[J].肠外与肠内营养,2004,11(2):118-121.
[10] 赵澜涛,王永宏,陈建海.食管癌和贲门癌术后胸内吻合口瘘的诊疗探讨[J].实用医学杂志,2013,29(15):2581-2583.
[11] 龚龙波,吕孝鹏,孟良,等.胃恶性肿瘤术后经空肠造口管早期肠内营养支持治疗疗效观察[J].中华实用诊断与治疗杂志,2013,27(2):203-204.
[12] 梅燕萍,刘洪珍,高洪妹,等.食管癌切除术后早期肠内营养的临床研究与护理[J].现代医学,2011,39(1):22-25.

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