经鼻肠梗阻导管小肠内排列术与传统手术治疗急性小肠梗阻临床对比研究  

Comparative study of internal intestinal splinting with long nasointestinal tube vs traditional ileus surgery

作　　者：刘智刚[1] 尚东[1] 毕伟[1] 张盛林[1] 张庆凯[1] 罗鹏[1] 范家乔[1] 刘沐苍[1] 梁国刚[1] 王长淼[1] 齐清会[1] 

机构地区：[1]大连医科大学附属第一医院普外三科,辽宁大连116011

出　　处：《中国实用外科杂志》2012年第12期1037-1039,共3页Chinese Journal of Practical Surgery

基　　金：国家重点基础研究发展计划项目(编号:2009CB522703)

摘　　要：目的比较经鼻肠梗阻导管小肠内排列术与传统手术治疗急性肠梗阻的临床疗效。方法回顾性分析大连医科大学附属第一医院普外三科2005年4月至2010年12月手术治疗并获得随访的129例机械性小肠梗阻病人的临床资料。其中行经鼻肠梗阻导管小肠内排列术组41例,传统手术组88例。结果两组术后排气、排便时间、术后并发症发生率、术后病死率差异均无统计学意义(P>0.05);经鼻肠梗阻导管小肠内排列术组术后5年复发率为5.0%(2/40),明显低于传统手术组[18.8%(16/85),P<0.05],且复发时间(42.5±7.8)个月明显晚于传统手术组[(20.3±11.8)]个月(P<0.05)]。结论经鼻肠梗阻导管小肠内排列术防治肠梗阻复发效果良好。Objective To evaluate the application value of internal intestinal splinting with long nasointestinal tube in management acute small bowel obstruction. Methods The clinical data of 129 cases of mechanical small bowel obstruction performed operation and followed up between April 2005 and December 2010 in the Third Department of General Surgery, the First Affiliated Hospital of Dalian Medical University were analyzed retrospectively. There were 41 cases in treatment group （internal intestinal splinting with long nasointestinal tube） and 88 cases in control group （traditional ileus surgery）. Results There was no significant difference in the postoperative exhaust time or defecation time, the rate of postoperative complications and the postoperative mortality between the two groups .（P〉0.05）. The postoperative recurrence rate of 5-years was 5.0% （2/40） in the treatment group, which was obviously less than the 18.8% （16/85） in the control group （P〈0.05）. And the recurrence time in the treatment group was （42.5±7.8） months, which was obviously less than （20.3± 11.8） months in the control group （P〈0.05）. Conclusion The treatment of internal intestinal splinting with long nasointestinal tube has a good control effect on recurrence of acute small bowel obstruction.

关 键 词：肠排列术 肠梗阻导管 手术 急性小肠梗阻 

分 类 号：R6[医药卫生—外科学]