目的总结肠瘘病人肠外营养的治疗经验及体会。
Objective To summarize experience of parenteral nutritional(PN) support in the management of gastrointestinal fistulas.
方法回顾性分析6例肾结肠瘘患者的临床资料。男4例，女2例。
Methods The clinical data of 6 patients (4 males and 2 females, average age of 37 years) with reno-colic fistula were analyzed retrospectively.
前言： 目的：探讨胆囊结石合并胆囊结肠瘘或胆囊十二指肠瘘的原因及腹腔镜手术治疗。
Objective:To explore the etiology and treatment of cholecystolithiasis combined with cholecystocolonic fistula or cholecystoduodenal fistula.
[结论]在诊治胃癌胃大部切除术后并发腹泻患者时，要考虑到空肠结肠瘘这一并发症的可能性，及时行相关检查。
[Conclusion] In diagnosing and treating such disease, one shall consider the possibility of the complication of jejunum colon fistula, and make timely the relative tests.
现在，我们面对的是手术、轮椅、结肠造瘘袋。
手术方式以右半结肠切除术（37.65%），小肠部分切除（21.18%）为主，内、外瘘及肛周CD行外科处理预后良好。
The most surgical procedure was the right half colon resection(37.65%). The second was partial enterectomy(21.18%). The prognosis of enteral and external fistula and perianal CD were satisfactory.
方法采用经阑尾残端的术中结肠清洁灌洗、回肠造瘘。
Methods a cleansing enema of the colon through the stem of appendix and a ileostomy were performed.
结论：回盲部插管造瘘灌洗对左半结肠癌梗阻行一期切除吻合是安全有效的。
Conclusion: Tube typical enterostomy for caecum department in the left half colon cancer obstruction with one-stage excision is safe and effective.
结果：左半结肠急诊一期切除吻合术的手术死亡率5%，吻合口瘘的发生率5.6%。
Result: Mortality rate of the first-stage resection and anastomosis operation was 5%, anastomotic leakage was 5.6%.
结果左半结肠急诊一期切除吻合术的手术死亡率5%，吻合口瘘的发生率5.6%。
Results Mortality rate of the first-stage resection and anastomosis operation was 5%, anastomotic leakage was 5.6%.
行结肠造瘘的患者术后第1日即恢复经口饮食，而仅行RPA的患者延迟至术后4日才开始恢复饮食。
Oral intake was resumed on postoperative day 1 in colostomy patients but was delayed until day 4 in the RPA-only group.
目的：探讨回盲部插管造瘘、灌洗一期切除吻合在左半结肠癌梗阻术中的作用。
Objective: to investigate the effects of tube typical enterostomy and clysis for caecum department in the left half colon cancer obstruction with one-stage excision.
结果本组21例患者，均行一期吻合，未行结肠或回肠预防性造瘘。
Results There was one anastomotic leakage in this group of 21 patients.
方法：收集结肠急诊手术病人附加阑尾切除残端造瘘实施一期手术36例，进行回顾性分析。
Methods: Collect hospital additional colon emergency appendectomy surgery patients to implement a stump fistula surgery, 36 cases were analyzed retrospectively.
结果脾损伤与胃癌根治术，胃十二指肠手术，结肠造瘘术等有关，纤维肠镜和心肺变苏时也可引起脾损伤。
Results The causes of iatrogenic splenic injury included undergoing an operation of gastric carcinoma and duodenal ulcer. Colonoscopy and cardiopulmonary resuscitation were also risk factors.
术后1例发生肠漏，经再次手术行结肠近端造瘘治愈。1例死亡。
Postoperatively, 1 case had anastomotic leak which healed after reoperation with proximal colostomy, and one patient died.
结果20例患者均行结肠一期切除吻合术，出现吻合口瘘1例。
Results Primary colon resection and anastomosis were performed in 20 cases, Anastomotic fistula occurred in 1 case.
2天后问题解决，考虑结肠造瘘术。
本组20例患者，2例患者初诊即出现广泛转移，行姑息结肠造瘘术后随访7月、46月均存活；
In 20 cases, two cases newly diagnosed for widespread metastasis, they receive palliative colostomy then survive for 7 and 46 months;
本组20例患者，2例患者初诊即出现广泛转移，行姑息结肠造瘘术后随访7月、46月均存活；
In 20 cases, two cases newly diagnosed for widespread metastasis, they receive palliative colostomy then survive for 7 and 46 months;
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