【摘要】 目的探讨新"三管法"治疗食管癌术后食管胃吻合口瘘的价值。方法透视下对27例明确诊断为胸内食管胃吻合口瘘患者,用介入方法经鼻置入空肠营养管,瘘腔引流管,同时保留胸腔引流管。经空肠营养管进行肠内营养支持,瘘腔引流管,胸腔引流管行负压吸引,充分引流瘘腔脓液。结果27例患者均一次置管成功,瘘口平均愈合时间23d。结论介入方法经鼻置入空肠营养管,瘘腔引流管,同时保留胸腔引流管的新"三管法"治疗胸内食管胃吻合口瘘安全、有效、经济。更多还原

【Abstract】 Objective To evaluate the efficacy of "3-tube" interventional therapy for gastroesophageal anastomotic fistula. Methods Under the fluoroscopic guidance,the nutritious tube and the drainage tube for gastroesophageal anastomotic abscess were inserted through nasal cavity,with simultaneously retaining the negative pressure drainage tube of thoracic cavity in 27 patients with confirmed gastroesophageal anastomotic fistula in order to have a complete drainage effect. Results The drainage tube of thoracic abscess,nutritious tube of jejunum were placed once successfully in all 27 patients with gastroesophageal anastomotic fistula. The average healing time of fistula cavity was 23 days. Conclusions The new placing nutritious tube of jejunum,drainage tube of fistula cavity through nasal cavity combined with retaining the drainage tube of thoracic cavity; is safe,effective and economic.更多还原