摘要
目的:减少手术创伤和并发症,缩短手术时间及禁食时间,促进术后胃肠功能恢复。方法:2011年至2012年,18例患者接受改良外科胃造瘘术治疗,其中颅脑外伤术后、长期昏迷、卒中后吞咽困难患者11例,食管癌患者7例。该院采用综合改良的手术方式,包括:将快速康复外科理念应用于围手术期;胃壁全层结扎于造瘘管止血;荷包隧道式包埋造瘘管。结果:手术时间25(20～30)min,术中出血10～15 ml,均一期愈合。无一例患者出现肠梗阻、腹胀及恶心呕吐。术中出血和并发症少,康复快。结论:改良外科胃造瘘术及围手术期快速康复外科应用减少了手术时间、围手术期禁食时间及术后胃肠功能恢复时间,恢复快、操作简单、安全可靠,达到了较好的治疗效果。
Via this application, we aimed to lessen surgical trauma, reduce complications, shorten the operation time and fasting time and promote the recovery of post-operational gastrointestinal function. Methods： From 2011 to 2012, 18 patients recieved improved surgical gastrostomy therapy, among which 11 cases were with traumatic injury, long-term coma, dysphagia after stroke and 7 cases with digestive system diseases. Practiced modified surgical methods was as follows： To ligate all the stomach wall, integrate Stamm＇s and Witzal＇s, and apply modified peri-operation period management with Fast Track Surgery. Results： The average operation time is 25 minutes （20-30 minutes）, intraoperative bleeding is 10 - 15 ml. All cases healed with less intraoperative bleeding and quicker recovery time without intestinal obstruction, abdominal distension, nausea or vomiting. Conclusion： The improved surgical gastrostomy and surgical application of perioperative FastTrack Surgery minimized the opera- tion times, perioperative fasting time and postoperative gastrointestinal function recovery time. The operation is sim- ple, safe, reliable, and could achieve a good treatment effect. [ Key words] Gastrostomy; Comprehensive improvement; Fast track surgery
出处
《新医学》
2013年第2期131-133,共3页
Journal of New Medicine
关键词
胃造瘘术
综合改良
快速康复外科
Gastrostomy
Comprehensive improvement
Fast track surgery
