Application of endoscopic transnasal intestinal obstruction catheter in patients with postoperative intestinal obstruction

LIU Li; LIU Li; YANG Mei; CHEN Lei

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Application of endoscopic transnasal intestinal obstruction catheter in patients with postoperative intestinal obstruction

更新时间：2023-05-22

- Application of endoscopic transnasal intestinal obstruction catheter in patients with postoperative intestinal obstruction
- null Issue 9, Pages: 723(2019)
- 作者机构：
  
  陆军军医大学第一附属医院肝胆外科,重庆,400038
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
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LIU Li, LIU Li, YANG Mei, et al. Application of endoscopic transnasal intestinal obstruction catheter in patients with postoperative intestinal obstruction. [J]. null (9):723(2019)
DOI：

LIU Li, LIU Li, YANG Mei, et al. Application of endoscopic transnasal intestinal obstruction catheter in patients with postoperative intestinal obstruction. [J]. null (9):723(2019) DOI：

摘要

目的探讨内镜下经鼻型肠梗阻导管在缓解术后肠梗阻中的应用价值。方法回顾性分析2017年1月至2018年3月我院收治的52例外科手术后发生粘连性肠梗阻患者的临床资料。其中26例经内镜安置肠梗阻导管治疗（观察组），另26例置鼻胃管行胃肠减压治疗（对照组）。分别对比2组患者的置管后腹部症状缓解时间、排气解便时间、CT提示梗阻缓解时间、置管时间及住院时间等，观察其临床疗效。结果观察组患者在置管24 h后腹部症状缓解、48 h后排气排便情况均优于对照组，梗阻缓解时间、平均置管天数及住院时间较对照组明显缩短，2组比较差异有统计学意义（P<0.05）。结论内镜下经鼻型肠梗阻导管能有效地缓解外科术后所致肠梗阻，并预防粘连性肠梗阻的复发。

Abstract

Objective To investigate the application value of transnasal intestinal obstruction catheter under endoscope in relieving postoperative intestinal obstruction.Methods A retrospective analysis was performed on 52 cases of postoperative intestinal obstruction who were admitted into our hospital from January 2017 to March 2018. Among them

26 cases were treated with intestinal obstruction catheter through endoscope (the observation group)

and the other 26 cases were treated with nasogastric catheter for gastrointestinal decompression (the control group).The relief time of abdominal symptoms after catheterization

the time of defecation

the relief time of obstruction indicated by CT

the time of intubation and the time of hospitalization were respectively compared in the 2 groups to observe the clinical efficacy.ResultsIn the observation group

the status of abdominal symptoms after 24 hours and exhaust and defecation condition after 48 hours were better than those in the control group.The time of obstruction remission

average days of catheterization and length of hospital stay were significantly shorter than those in the control group

with statistically significant differences (P<0.05).Conclusion Transnasal intestinal obstruction catheter can effectively relieve postoperative intestinal obstruction and prevent recurrence of adhesive intestinal obstruction.

关键词

肠梗阻导管外科手术肠梗阻临床疗效内镜

Keywords

intestinal obstruction cathetersurgeryintestinal obstructionclinical efficacyendoscope

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Related Institution

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