论文部分内容阅读
目的:探索生物医用胶治疗食管贲门癌术后难愈性吻合口瘘的效果。方法:对自2010年来14例食管癌、贲门癌术后吻合口瘘患者的吻合口不愈窦道,应用生物医用胶进行粘堵。结果:14例吻合口瘘患者经首次医用胶封堵窦道后即刻行上消化道造影(GI)检查,其中10例窦道消失,瘘口成功封堵,1周后再次GI检查,无造影剂外漏,吻合口瘘治愈。2例患者第1次堵胶后GI检查:窦道缩小,观察1周后再次堵胶成功;1例患者首次堵胶成功,但再行GI检查示瘘口仍未愈合,经第2次堵胶成功,之后1周复查GI示吻合口瘘愈合。1例患者堵胶3次,吻合口瘘愈合。结论:采用医用生物蛋白胶对吻合口瘘进行粘堵不是常规治疗吻合口瘘方法,但对经久不愈性吻合口瘘患者是一种可行的治疗方法。
Objective: To explore the effect of biomedical glue in the treatment of refractory anastomotic fistula after esophageal and cardiac cardiac surgery. Methods: From 2010 to 14 cases of esophageal and cardiac cancer patients with anastomotic leakage of anastomotic unilateral sinus surgery, the application of biomedical glue for blocking. Results: Fourteen patients with anastomotic fistula were examined with GI for the first time after sealing the sinus with medical glue. Ten cases of sinus disappeared and the fistula was successfully closed. After one week, GI examination was again performed without contrast Agent leakage, anastomotic fistula cure. The GI of the 2 patients after the first occlusion of the gel: the sinus was narrowed and the occlusion was successful again after 1 week of observation; the first occlusion of the rubber was successful in one patient, but the GI was not cured after the GI examination. After the second occlusion Gum success, followed by 1 week review GI anastomotic fistula healing. One patient blocked the gel three times, anastomotic fistula healed. Conclusion: The use of medical bioprotein glue for anastomotic fistula sticking and blocking is not a routine treatment of anastomotic fistula, but it is a viable treatment for patients with unhealed anastomotic leakage.