X线引导下置入肠梗阻导管治疗妇科恶性肿瘤所致恶性肠梗阻  

X-ray-guided placement of intestinal obstruction tube for treating malignant bowel obstruction caused by malignant gynecological tumors

作　　者：刘胜中 张敏伟 张子秋 翟天旭 李德春 LIU Shengzhong;ZHANG Minwei;ZHANG Ziqiu;ZHAI Tianxu;LI Dechun(Xuzhou Clinical College,Xuzhou Medical University,Xuzhou 221009,China;Department of Radiology,Xuzhou Central Hospital,Xuzhou 221009,China)

机构地区：[1]徐州医科大学徐州临床学院,江苏徐州221009 [2]徐州市中心医院放射科,江苏徐州221009

出　　处：《中国介入影像与治疗学》2024年第6期334-337,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：江苏省十四五医学重点学科/实验室建设项目(ZDXK202237)。

摘　　要：目的观察X线引导下置入肠梗阻导管治疗妇科恶性肿瘤所致恶性肠梗阻(MBO)效果。方法回顾性分析60例妇科恶性肿瘤术后小肠MBO患者资料,其中30例接受X线引导下肠梗阻导管置入(A组)、30例接受传统鼻胃管置入(B组),之后均接受持续胃肠减压。对比2组MBO症状缓解情况、排气排便时间及治疗后饮食恢复情况,记录24 h平均引流量、导管留置时间及有无治疗相关并发症,以及治疗后1年内生存情况。结果对60例均成功置管。A组置管后排气排便、经口进食均早于,导管留置时间短于而24 h平均引流量大于B组(P均<0.05),组间肠梗阻症状缓解率差异无统计学意义(P=0.472)。治疗中A组8例出现鼻部轻微出血、4例口咽部不适,B组5例鼻部出血、5例口咽部不适,均未经特殊处理后自行缓解;组间治疗相关并发症差异无统计学意义(P=0.361)。治疗后1年,2组均有28例完成随访、失访2例,A组生存率[25.00%(7/28)]与B组[17.86%(5/28)]差异无统计学意义(P=0.745)。结论X线引导下置入肠梗阻导管治疗妇科恶性肿瘤所致MBO安全、有效。Objective To observe the effect of X-ray-guided placement of intestinal obstruction tube for treating malignant bowel obstruction(MBO)caused by gynecological malignant tumors.Methods Data of 60 patients with intestinal MBO after surgical operations of malignant gynecological tumors,including 30 cases underwent X-ray-guided intestinal obstruction tube placement(group A)and 30 cases underwent traditional nasogastric tube placement(group B),all followed by continuous gastrointestinal decompression were retrospectively analyzed.The remission of MBO symptoms,time of exhaust and defecation,so as diet recovery after treatment were compared between groups.The mean drainage volume within 24 h,tube retention time and treatment-related complications were recorded,and the survival of patients within 1 year after treatment were followed up.Results All 60 patients were successfully catheterized.The time of exhaust and defecation,oral feeding and tube retention time after catheterization in group A were shorter than those in group B(all P<0.05),while the mean drainage volume within 24 h in group A was larger than that in group B(P<0.05).No significant difference of relief rate of intestinal obstruction symptoms was found between groups(P=0.472).Minor nasal bleeding occurred in 8 cases,and oropharyngeal discomfort occurred in 4 cases in group A,while each in 5 cases in group B,all relieved without special treatments.No significant difference of treatment-related complication was observed between groups(P=0.361).One year after treatments,28 cases were followed up and 2 cases were lost in both groups,and no significant difference of survival rate was detected between group A(7/28,25.00%)and group B(5/28,17.86%)(P=0.745).Conclusion X-ray-guided placement of intestinal obstruction tube was safe and effective for treating MBO caused by malignant gynecological tumor.

关 键 词：肠梗阻 肿瘤 介入治疗 

分 类 号：R574.2[医药卫生—消化系统] R815[医药卫生—内科学]