经胃镜置管行残胃、输出袢同时减压治疗毕Ⅱ式胃手术后肠梗阻  

Decompression of postoperative intestinal obstruction after Billroth Ⅱ procedure by placing intestinal tube into gastricremnant and efferent loop through gastroscopy

作　　者：朱蔓然[1] 全红 何丽娟[1] 司徒鹏[1] 赖家骏[1] 叶扬娥 彭蓉芳 卢如相[1] 

机构地区：[1]广东省粤北人民医院消化内科,512026 [2]韶关市铁路医院,512032

出　　处：《现代消化及介入诊疗》2010年第4期215-217,共3页Modern Interventional Diagnosis and Treatment in Gastroenterology

基　　金：韶关市医药卫生科研计划(Y080985)

摘　　要：目的探讨经胃镜置管行残胃、输出袢同时减压治疗毕Ⅱ式胃手术后肠梗阻的疗效。方法毕Ⅱ式胃手术后肠梗阻患者60例,随机分为两组:治疗组采用胃镜置入导管行残胃、输出袢同时减压,对照组采用经鼻胃管减压。比较腹胀改善程度、胃肠减压量、气液平面消失时间、肠鸣音恢复时间。结果治疗组腹胀改善程度、胃肠减压量、气液平面消失时间、肠鸣音恢复时间显著优于对照组(P<0.05)。结论经胃镜置管行残胃、输出袢同时减压治疗毕Ⅱ式胃手术后肠梗阻效果优于鼻胃管行胃肠减压。Aim To evaluate the decompression effect on postoperative intestinal obstruction after Billroth Ⅱ procedure by placing intestinal tube into gastricremnant and efferent loop through gastroscopy.Methods Sixty patients with postoperative intestinal obstruction after Billroth Ⅱ procedure were divided randomly into two groups：the treatment group,in whom the tube was simultaneously placed into gastricremnant and efferent loop through gastroscope for decompression;and the control group,in whom gastric tube was conventionally placed.Abdominal distension,volume of gastrointestinal decompression,disappearing time of liquid and gas,the time of borborygmus recovery were recorded and compared.Results Significant differences were found on abdominal distension,volume of gastrointestinal decompression,disappearing time of liquid and gas,and the time of borborygmus recovery in favor of treatment group（P0.05）.Conclusion Placing intestinal tube by gastroscopy into gastricremnant and efferent loop could effectively decompress intestinal obstruction after Billroth Ⅱ procedure.

关 键 词：肠梗阻 毕Ⅱ式胃手术后 胃镜 减压 

分 类 号：R259.742[医药卫生—中西医结合]