Streza G A, Laing B J, Gilsdorf R B
Am J Surg. 1977 Dec;134(6):772-6. doi: 10.1016/0002-9610(77)90322-1.
Silicone casting of abdominal wall defects around enteric fistulas in six patients and problem stomas in three patients proved to be an effective means of controlling the output of the fistulas, reducing wound care time, and reducing or eliminating parenteral nutrition needs. Outpatient management was possible in seven of the nine patients. It is observed that the wounds healed rapidly with this method of fistula control. Epithelialization occurred more rapidly than expected. This method of management may tend to make the fistulas remain open longer than by other means of care, but the significant increase in patient comfort, the financial savings, and the relative safety warrant continued utilization and observation of this method of management.
对6例肠瘘周围腹壁缺损患者和3例造口问题患者进行硅胶铸型，结果证明这是控制瘘管排出量、减少伤口护理时间以及减少或消除肠外营养需求的有效方法。9例患者中有7例可以进行门诊治疗。观察发现，采用这种瘘管控制方法，伤口愈合迅速。上皮形成比预期更快。与其他护理方法相比，这种管理方法可能会使瘘管开放的时间更长，但患者舒适度的显著提高、费用节省以及相对安全性，使得该管理方法值得继续应用和观察。
