摘要
目的 改进传统经鼻置胃肠减压管及十二指肠营养管的方法 ,减少与其相关并发症的发生。方法 对食管中下段癌、贲门癌病人采用常规根治术 ,胃代食管弓下或弓上吻合 ,于胃窦部前壁戳孔置入自制胃肠减压管及十二指肠营养管 ,减压管上行达吻合口水平 1～ 2cm ,十二指肠营养管经糖球引导送入十二指肠水平部。胃壁作荷包包埋 ,大网膜包绕后经左侧肋弓下腹壁穿出固定。结果 3 8例中无一例发生胃肠潴留和 /或吻合口瘘 ,无肺部感染 ,管周无皮肤损害。拔管后无局限性腹膜炎或瘘口迁延不愈。结论 该法克服了传统置管的不适 ,避免了发生相关并发症 ,操作简便 ,安全可靠 。
Objective To improve the means of intubating gastrointestinal decompression tube and duodenal nutrition tube for the purpose of decreasing the related complications.Methods Thirty-eight patients withesophageal and cardinal carcinoma were treated by means of surgery from July 1999 to July 2002.The esophageal replacement with gaster was anastomosed at the level of or below arch of aorta.The special designed gastrointestinal decompression tube and duodenal nutrition tube were retroinserted into the residual stomach from gastic antrum,and the ending tube were placed out of abdominal wall below left costal arch.Results Among the 38 cases,no gastrointestinal retention and/or anastomotic leakage occurred.There was no pneumonia and skin injury around the tube.No local peritonitis or uncurable fistula occurred after withdrawal of the tube.Conclusion This method overcomes the shortage related to nasogastric decompression tube and nasogastric duodenal nutrition tube.It is simple, safe and practical.
出处
《临床外科杂志》
2004年第5期293-294,共2页
Journal of Clinical Surgery
关键词
胃肠减压管
十二指肠营养管
置管
并发症
gastrointestinal decompression
duodenal nutrition tube
catheterization
complication
