摘要
目的:分析妇科恶性肿瘤手术后肠瘘发生的原因和治疗。方法:回顾性分析妇科恶性肿瘤手术后4例肠瘘的临床资料,平均年龄49岁。卵巢癌3例,子宫内膜癌1例,均为IIc期以上。2例为初次手术,2例为再次手术。4例术前均有贫血和低蛋白血症,术后均有低热、腹部切口感染,分别于术后11、10、14和12天出现肠瘘,4例均行保守治疗。结果:4例分别于术后18、32、42、31天经保守治疗后肠瘘愈合。结论:肠瘘多发生于困难的妇科恶性肿瘤手术之后,临床表现为低热、腹部切口溢液、肠内容物自切口排出,治疗以保守治疗为首选。
Objective：To assesses the diagnosis and treatment of intestinal fistula after gynecological oncology surgery. Methods： The clinical data of 4 cases of intestinal fistula were retrospectively analyzed. Results： The mean age were 49 years old. Of 4 cases, 3 were with ovarian cancer and one with endiometrical cancer. Two fistulas happened after first operation and another two occurred after the second operation. All of the 4 cases had preoperative anemia and hypoproteinemia. The fistulas were diagnosed on the 11th, 10th, 14th, 12th day after operation respectively. All of the 4 cases were cured by conservative therapy. Conclusion：The cause of intestinal fistula is difficult gynecological tumor surgery. Clinical manifestations were low-grade fever, abdominal incision polyrrhae and intestinal contents row from abdominal incision. The conservative treatment was the first choice.
出处
《四川肿瘤防治》
2007年第2期127-128,131,共3页
Sichuan Journal of Cancer Control
关键词
恶性肿瘤
术后
肠瘘
Malignant Tumor
Postoperative
Intestinal Fistula
