经鼻小肠减压管在结直肠癌根治术后肠梗阻中的应用  

Application of small intestine decompression tube in postoperative intestinal obstruction of colorectal cancer

作　　者：王鹏[1] 贾淑娟[1] 刘琳娜[1] 王海燕 高兆亚 曾庆敏[3] PengWang;Shu-juan Jia;Lin-na Liu;Hai-yanWang;Zhao-ya Gao;Qing-min Zeng(Department of Gastroenterology,Shougang Hospital,Peking University,Beijing 100144,China;Endoscopy Center,Shougang Hospital,Peking University,Beijing 100144,China;Department of Gastrointestinal Surgery,Shougang Hospital,Peking University,Beijing 100144,China)

机构地区：[1]北京大学首钢医院消化科,北京100144 [2]北京大学首钢医院内镜中心,北京100144 [3]北京大学首钢医院普外胃肠外科,北京100144

出　　处：《中国内镜杂志》2020年第10期43-47,共5页China Journal of Endoscopy

摘　　要：目的探讨经鼻小肠减压管治疗结直肠癌根治术后肠梗阻的有效性。方法收集2016年1月-2020年3月该院结直肠癌根治术后肠梗阻应用经鼻小肠减压管治疗的病例,进行回顾性分析。结果49例患者结直肠癌根治术后肠梗阻,25例治疗缓解(51.0%)。其中,28例结肠癌中14例缓解(50.0%),21例直肠癌中11例缓解(52.4%);38例未行造瘘术患者中18例缓解(47.4%),11例行造瘘术患者中7例缓解(63.6%);28例未发生腹腔转移患者中18例缓解(64.3%),21例已发生腹腔转移患者中7例缓解(33.3%)。结论经鼻小肠减压管治疗结直肠癌根治术后肠梗阻是安全有效的,尤其是对未发生腹腔转移的患者,是一种具有推广价值的治疗方法。Objective To investigate the efficacy of transnasal and small intestinal decompression tube in the treatment of intestinal obstruction after radical operation of colorectal cancer.Methods This is a retrospective analysis.From January 2016 to March 2020,clinical data of patients with intestinal obstruction after radical operations of colorectal cancer were collected and treated by transnasal small intestine decompression tube.Results In 49 cases of intestinal obstruction after radical operation of colorectal cancer,there are 25 cases of effective treatment(51.0%);in 28 cases of colon cancer,there are 14 cases were assessed effectively(50.0%);in 21 cases of rectal cancer,there are 11 cases were assessed effectively(52.4%);in 38 cases of no stoma was performed in these cased,18 cases of effective(47.4%);in 11 cases who performed stoma,7 cases were assessed effectively(63.6%);in 28 cases who didn’t occurred abdominal metastasis,18 cases were assessed effectively(64.3%);in 21 cases with abdominal metastasis,7 cases were assessed effectively(33.3%).Conclusion Transnasal small intestinal decompression tube is an effective treatment for intestinal obstruction after radical operation of colorectal cancer,especially for patients without abdominal metastasis,which has the value for popularization.

关 键 词：小肠减压管 结直肠癌根治术后 肠梗阻 

分 类 号：R574.2[医药卫生—消化系统]