食管胃吻合口瘘窦道的封堵治疗

目的：探讨用生物蛋白胶封堵吻合口瘘窦道。方法：4例食管胃吻合口瘘均采用保守治疗，1例经颈部切口用手指钝性分离置管引流，其他3例分别在X线、B超、CT定位下穿刺引流，经内外冲洗感染灶治疗后，注射医用生物蛋白胶封堵瘘口窦道。结果：4例均在较短时间内治愈，无死亡发生，术后平均住院时间为32d，治疗效果满意。结论：穿刺引流避免了感染灶的扩大，生物蛋白胶封堵瘘口窦道明显缩短了病程，是行之有效的方法。

Application of fibrin glue in treating esophagogastric anastomotic leakage

? Objective To evaluate the value of fibrin glue in treating esophagogastric anastomotic leakage. Methods Four cases of anastomotic leakage after esophageaoctomy were treated conservatively. One case was drained by finger detection from neck. Percutaneous drainage was performed under X ray, ultrasound or CT guided in other three cases. After washing the infective cavity through the drainage tube or by swallow washing, the fibrin glue was injected into the cavity to seal the leakage and block up the sinus. Results All four cases were cured and the average hospitalization time after operation was 32 days. Conclusion Percutaneous drainage can avoid the enlargement of the infective cavity. Fibrin glue injection can help the leakage healing and decrease the hospitalization time. It is a reliable way with effect, simple procedure and less complication.