逆行肠内排列术预防术后粘连性小肠梗阻239例经验总结  

Experience of retrograde long intestinal tube splinting for preventing postoperative adhesive small bowel obstruction: A study of 239 patients

作　　者：李民[1] 任建安[1] 朱维铭[1] 李幼生[1] 赵允召[1] 姜军[1] 黎介寿[1] 李宁[1] 

机构地区：[1]南京大学医学院附属金陵医院(南京军区南京总医院) 解放军普通外科研究所,江苏南京 210002

出　　处：《中国实用外科杂志》2014年第3期240-244,共5页Chinese Journal of Practical Surgery

基　　金：江苏省临床医学科技专项基金(BL2012006)

摘　　要：目的探讨逆行肠内排列术预防术后粘连性小肠梗阻(ASBO)的临床价值。方法回顾性分析2001年12月至2008年12月间在南京军区南京总医院行肠内排列术的病人资料,统计肠内排列原因、方法、术后并发症及肠梗阻复发率。结果 239例病人接受逆行肠内排列术,排列管相关并发症发生率为0.8%。术后平均随访(78.6±25.3)个月,梗阻复发率为5.0%。结论逆行肠内排列术相关并发症发生率较低,是预防ASBO术后梗阻复发的有效措施。Experience of retrograde long intestinal tube splinting for preventing postoperative adhesive small bowel obstruction： A study of 239 patients LI Min, REN Jian-an, ZHU Wei-ming, et al. Research Institute of General Surgery,Nanjing University School of Medicine,Nanjing General Hospital of Nanjing Military Command of PLA,Nanjing 210002,China Corresponding author： LI Ning,E-mail：[e-mail] Abstract Objective To study long intestinal tube splinting in the prevention of postoperative adhesive small bowel obstruction. Methods The clinical data of patients performed long intestinal tube splinting between December 2001 and December 2008 in Nanjing General Hospital of Nanjing Military Command of PLA were analyzed retrospectively. Medical records were reviewed in detail. The incidence of postoperative ASBO was obtained by follow-up. Results There were 239 patients received retrograde tube splinting. The tube related complication rate was 0.84%. After a median follow-up of （78.6±25.3） months, the incidence of postoperative ASBO was 5.04%. Conclusion The retrograde tube splinting has a lower tube-related complication rate, It＇s an effective method to prevent recurrent ASBO.

关 键 词：肠内排列术 粘连性小肠梗阻 术后梗阻 

分 类 号：R6[医药卫生—外科学]