采用seldinger技术置双套管负压引流吸引在肠瘘治疗中的应用分析

摘要

Objective:To evaluate the clinical effects of using double catheter negative pressure drainage using seldinger technique for the treatment of intesinal fistula.Methods:Retrospective analysis was performed in 38 cases of intestinal fistula treated in our department between 2011 and 2015.The patients were divided into group A(n=21,treated with double catheter negative pressure drainage using Seldinger technique),and group B(n=17,treated with conventional single cavity drainage tube).The two groups were compared regarding the self-healing rate,days of hospital stay,days of tube maintenance and changes of maximum body temperature.Results:For group A,the effective catheterization was in 18 of the 21 patients,and 3 required second operation.The average catheter maintenance was(17.62±9.32) days,and average hospital stay(43.14±14.97) days;For group B,catheterization was effective in 12 of 17 cases,and another 5 needed re-operation.The average catheter maintenance was(31.71±15.30) days and average hospital stay(57.41±26.88) days.Conclusion:Double catheter negative pressure drainage using Seldinger technique appears relatively more effective than conventional single cavity drainage tube for intestinal fistula,and this technique may reduce the hospital stay and length of tube maintenance.%目的:探讨应用seldinger技术置腹腔双套管负压引流吸引在肠瘘治疗中的临床效果.方法:回顾性分析我院2011~2015年收治的外科手术后发生消化道瘘患者,其中A组21例,均采用seldinger技术早期置双套管负压引流吸引.B组17例,采用传统单腔引流管治疗.分析比较两组的自愈率、住院天数、置管天数、最高体温变化.结果:A组21例病人中 18例病人置管有效,3例病人在置管后接受再手术治疗.平均置管时间为(17.62±9.32)d,平均住院时间为(43.14±14.97)d.B组17例病人中 12例病人置管有效,5例病人在置管后接受再手术治疗.平均置管时间为(31.71±15.30)d,平均住院时间为(57.41±26.88)d. 结论:采用seldinger技术早期置腹腔双套管持续冲洗负压引流较传统单腔引流在肠瘘治疗中是相对有效的,且能减少患者住院时间及置管时间.