结肠癌术后肠瘘合并糖尿病的治疗分析

摘要

目的 探讨结肠癌合并糖尿病患者术后发生肠瘘的治疗方法.方法 对6例患者进行瘘口位置放置改装滴水双腔负压吸引管,持续冲洗,保证充分引流,严格控制血糖,足够的营养支持等对症治疗.结果 6例患者经保守治疗3个月均痊愈出院,1例出现切口疝,1例引流管口处反复感染,对症治疗后痊愈,2例患者出院后反复出现肠梗阻,来院多次治疗后痊愈.结论 结肠癌术后发生肠瘘合并糖尿病患者,经过精细的保守治疗可以取得较好的疗效.%Objective Intestinal fistula occurred after treatment in patients with colon cancer,diabetes mellitus treatment.Methods Of 6 patients were placed on modified dripping fistula location lumen suction tube,continuous irrigation,to ensure adequate drainage,strict control of glucose,adequate nutritional support and other symptomatic treatment.Results In 6 patients with conservative treatment recovered 3 months after treatment,1 case of incision hernia,1 case drainage tube mouth repeatedly infection,symptomatic treatment after recovery,2 cases with recurrent intestinal obstruction after discharge,to court repeatedly healing after treatment.Conclusion Colon cancer postoperative intestinal fistula patients with diabetes mellitus,after fine conservative treatment can obtain good curative effect.