【摘要】 目的 对腹部手术后并发肠外瘘的发生、发展、治疗方法及疗效进行研究，探讨其合理的诊断和治疗方法。 方法 收集1994年12月～2004年12月本院收治的腹部手术后并发肠外瘘42例临床资料进行回顾性分析。 结果 高位肠瘘18例，其中8例早期手术3例治愈，10例保守治疗8例治愈，低位肠瘘16例，其中4例早期手术2例治愈，12例保守治疗10例治愈。 结论 肠外瘘大多宜保守治疗，经过正规的非手术治疗效果不佳时，可以考虑手术治疗，必要时配合TPN、生长抑素和生长激素等。

    关键词 肠瘘 外科治疗 营养支持 生长抑素 生长激素

    Analysis of diagnosis and treatment of42patients with intestinal fistula after abdominal operation

    Li Chao，Xu Wanli，Zhou Weihua，et al.

    Department of General Surgery，Jiangmen Central Hospital，Guangdong529070

    【Abstract】 Objective To search proper diagnosis and treatment method of intestinal fistula by studying the cause，treatment measure and its effect about intestinal fistula after abdominal operation.Methods From December1994to December2004，42cases diagnosed as intestinal fistula after abdominal operation were retrospectivly ana-lyzed.Results Among all patients，3of8cases were treated with early repair of operation and8of10cases were with conservative methods were cured in18cases of high intestinal fistulas.2of4cases were treated with early repair of op-eration and10of12conservative treatment were cured in16cases of low intestinal fistulas.Conclusion Conservative treatment is necessary for all patients with intestinal fistulas before curible operation is considered.Operation may be considered if the conservative treatment does not get good effect.The fistula closing spontaneously and successful oper-ation depend on using TPN combined with somatostatin and growth hormone. ......