论文部分内容阅读
[目的]探讨在X线监视下经鼻置入小肠减压导管行小肠内减压对急性黏连性小肠梗阻保守治疗中的作用。[方法]选择急性黏连性小肠梗阻患者12例(治疗组),采用鼻肠管减压治疗,在X线监视下经鼻置入300 cm长减压管至空肠上段20 cm以上,边抽吸减压边随肠蠕动前行,达回肠末端,行全小肠减压,观察其治疗效果,并与10例经鼻胃管减压患者(对照组)比较。[结果]治疗组置管成功率100%,减压过程顺利,无并发症发生。与对照组比较,治疗组日减压量明显增加(P<0.01),腹痛、腹胀等梗阻症状缓解更快,对急性黏连性小肠梗阻的解除率为100%,而对照组的解除率为40.0%。[结论]经鼻肠管减压用于治疗急性黏连性小肠梗阻安全有效,可快速到达梗阻部位的上部直接进行吸引减压,并能促进黏连松懈以及梗阻缓解,具有较好的临床应用价值。
[Objective] To investigate the effect of intra-intestinal decompression on the conservative treatment of acute adhesive intestinal obstruction by nasal cannulation of small intestine decompression catheter under X-ray monitoring. [Methods] Twelve patients (treatment group) with acute adhesive small bowel obstruction were selected and treated with nasogastric decompression. Under the X-ray monitoring, a 300 cm long decompression tube was placed over 20 cm above the upper jejunum. Decompression with peristalsis move forward, reached the end of the ileum, the line of intestinal decompression, observe the therapeutic effect, and with 10 cases of nasogastric decompression (control group) compared. [Result] The successful rate of tube in the treatment group was 100%, the procedure of decompression was smooth and no complication occurred. Compared with the control group, the daily decompression volume in the treatment group was significantly increased (P <0.01), and the symptoms of abdominal pain and abdominal distension were relieved more quickly. The rate of relieving acute adhesive intestinal obstruction was 100%, while that in the control group was 40.0%. [Conclusion] Transnasal tube decompression is safe and effective in the treatment of acute adhesive small bowel obstruction. It can directly reach the upper part of the obstruction site for direct suction decompression, and can promote lax adhesions and obstruction, and has a good clinical value .