泛影葡胺在粘连性肠梗阻手术时机选择中的应用研究  

Study on the application of meglumine diatrizoate in the timing of the operation of adhesive intestinal obstruction

作　　者：薛亮[1] 侯洪伟 XUE Liang;HOU Hongwei(Department of Gastrointestinal Surgery,First People's Hospital of Lianyungang City,Lianyungang,Jiangsu,222061,China)

机构地区：[1]连云港市第一人民医院胃肠外科,江苏连云港222061

出　　处：《当代医学》2023年第8期140-142,共3页Contemporary Medicine

摘　　要：目的探讨泛影葡胺在粘连性肠梗阻手术时机选择中的应用。方法选取2020年1—12月本院收治的84例粘连性肠梗阻患者作为实验组,另选取2019年1—12月本院收治的92例粘连性肠梗阻患者作为对照组,应用泛影葡胺造影检查,制订手术干预时机判断细则。分析两组治疗情况,比较两组手术率、住院时间及肠切除率。结果两组手术率比较差异无统计学意义;实验组住院时间短于对照组,肠切除率低于对照组,差异有统计学意义(P<0.05)。结论泛影葡胺诊疗策略的应用并未增加患者手术率,可缩短患者住院时间,减少肠坏死率,可为临床医师提供一定参考依据。Objective To investigate the application of meglumine diatrizoate in the timing of surgical procedures for adhesive intestinal obstruction.Methods 84 patients with adhesive ileus admitted from January to December 2020 were selected as the experimental group,and 92 patients with adhesive ileus admitted to our hospital from January to December 2019 were selected as the control group.Meglumine diatrizoate was used to determine the timing of surgical intervention.The treatment situation of the two groups was analyzed,the operation rate,hospital stay and intestinal resection rate were compared between the two groups.Results There was no significant difference in the operation rate between the two groups.The length of hospitalization was shorter than that in the control group,bowel resection rate in the experimental group were lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of meglumine diatrizoate diagnosis and treatment strategy did not increase the operation rate of patients,but shortened the patient's hospital stay,reduced the probability of intestinal necrosis,and provided clinicians with a certain decision-making basis.

关 键 词：粘连性肠梗阻 泛影葡胺 坏死 

分 类 号：R656.7[医药卫生—外科学]