肠梗阻导管在小肠排列中的应用  

Application of long intestinal tube in intestinal plication

作　　者：金殷植[1] 冯野[1] 李永超[1] 宋彬[1] 张海燕[1] 

机构地区：[1]吉林大学中日联谊医院胃肠外科,吉林长春130031

出　　处：《吉林医学》2011年第14期2740-2741,共2页Jilin Medical Journal

摘　　要：目的:评价肠梗阻导管在小肠排列中的应用价值。方法:回顾性分析2008年1月～2010年6月吉林大学中日联谊医院收治的10例应用肠梗阻导管进行小肠排列患者的临床资料。结果:本组10例中,既往肠粘连松解术后7例,宫外孕术后1例,直肠D ixon术后1例,腹腔转移癌剖腹探查术后1例。全组肠粘连松解术6例,肠粘连松解及部分小肠切除术2例,肠粘连松解术及横结肠造口术1例,末端回肠造口术1例。9例术前置入肠梗阻导管,术中引导至回盲部,1例术中置入导管。全组患者术后3～4 d排气,术后5 d开始带管进清流食。9例术后14 d拔管,1例腹腔转移癌患者带管出院。术后无肠梗阻再发。结论:应用肠梗阻导管进行小肠排列,操作简单,疗效可靠,可作为小肠排列的首选术式之一。Objective To evaluate the application of long intestinal tube in intestinal plication.Method From January 2008 to June 2010,data of 10 patients who received intestinal plication with long intestinal tube were analyzed retrospectively.Results There were 4 males and 6 females with mean age of 44.7 years.All patients with previous surgeries,including 7 enterolysis,1 ectopic pregnancy operation,1 dixon operation and 1 exploratory laparotomy with peritoneal carcinomatosis.All cases were performed operations,including 6 enterolysis,2 enterolysis plus partial intestinal resection,1 enterolysis plus transverse colostomy and 1 terminal ileostomy.Long tube was inserted in 9 cases before surgery and was inserted into ileocecal junction during surgery.The time of first passage of flatus was 3～4 days after surgery.Patients took full liquid diet on 5th postoperative day and long tube was removed in 9 cases on 14th postoperative day.There was no recurrence occurred after intestinal plication.Conclusion Intestinal plication with long tube is simple and effective,which should be the first choice in intestinal plication.

关 键 词：肠梗阻 肠梗阻导管 小肠排列术 

分 类 号：R656.7[医药卫生—外科学]