Zhabanovskiĭ V E, Sorochan G I, Chetulianu E A
Khirurgiia (Mosk). 1990 Feb(2):119-23.
Experience in the treatment of 156 patients with postoperative fistulas of the colon is discussed. The etiopathogenesis of the fistulas was revealed. The authors characterize pyoseptic complications and show the practical significance of their differentiation into formed and unformed types, which determined the therapeutic strategy and the outcomes. Preference was given to nonoperative treatment of the fistulas before their formation and subsequent single-stage closure by surgery. When nonoperative treatment was ineffective, various types of operative methods for exclusion of the fistula were applied (as the first stage).
本文讨论了156例结肠术后瘘患者的治疗经验。揭示了瘘的病因发病机制。作者描述了脓性败血症并发症,并展示了将其区分为形成型和未形成型的实际意义,这决定了治疗策略和治疗结果。在瘘形成前优先采用非手术治疗,随后通过手术进行一期闭合。当非手术治疗无效时,应用了各种类型的瘘管排除手术方法(作为第一阶段)。