经鼻肠梗阻导管置入术治疗肠梗阻的研究进展  

Research progress in the treatment of intestinal obstruction by catheter placement through nasal ileus

作　　者：沈林艳 靳清 杨景毅 唐婷 洪钟 陈昆 于志华 黄海荣 赵云 王晓斌 葛正息 SHEN Linyan;JIN Qing;YANG Jingyi;TANG Ting;HONG Zhong;CHEN Kun;YU Zhihua;HUANG Hairong;ZHAO Yun;WANG Xiaobin;GE Zhengxi(Department of Gastroenterology,Guilin Hospital of Chinese Traditional and Western Medicine,Guangxi,Guilin 541004,China)

机构地区：[1]广西壮族自治区桂林市中西医结合医院消化内科,广西桂林541004

出　　处：《中国医药科学》2024年第12期39-42,共4页China Medicine And Pharmacy

基　　金：广西壮族自治区桂林市科技项目(20210114z);广西壮族自治区桂林市科学研究与技术开发计划项目(2020011210-2)。

摘　　要：肠梗阻可能是由于生理或病理原因造成肠道腔道的部分或完全阻塞。胃肠减压是肠梗阻治疗的首要原则。目前,虽然胃管减压是临床胃肠减压治疗中的主要方式,但是胃管减压效果和对肠道内容物吸引作用较为有限,尤其是在低位肠梗阻的治疗过程中更是如此。经鼻肠梗阻导管置入术是一种治疗肠梗阻的介入性医疗程序:将导管通过鼻孔引导到胃肠道,以缓解肠梗阻,特别是在梗阻导致严重症状或危及生命时。经鼻肠梗阻导管可随肠蠕动直至梗阻近端,并持续有效地进行胃肠减压,能为手术提供良好的基础,降低手术意外的发生,减少术后并发症。本文回顾相关文献报道,对经鼻肠梗阻导管置入术治疗肠梗阻的临床研究进展进行综述,为肠梗阻的临床治疗提供一定参考依据。Intestinal obstruction may be a partial or complete obstruction of intestinal tract due to physiological or pathological reasons.Gastrointestinal decompression is the first principle in the treatment of intestinal obstruction.At present,although gastric tube decompression is the main method in clinical gastrointestinal decompression treatment,the efficacy of gastric tube decompression and its attraction to intestinal contents are limited,especially in the treatment of low intestinal obstruction.Catheter placement through nasal ileus is an interventional medical procedure to treat intestinal obstruction,in which the catheter is guided to gastrointestinal tract through nostril to relieve intestinal obstruction,especially when obstruction leads to serious symptoms or life-threatening.The nasal ileus catheter can follow the intestinal peristalsis to the proximal end of the obstruction,and continue to effectively decom press the gastrointestinal tract,which can provide a good foundation for surgery,reduce the occurrence of surgical accidents and reduce postoperative complications.In this paper,the related literature reports are reviewed,and the clinical research progress of catheter placement through nasal ileus in the treatment of intestinal obstruction is reviewed,so as to provide certain reference for the clinical treatment of intestinal obstruction.

关 键 词：肠梗阻 胃肠减压 经鼻肠梗阻导管术 研究进展 

分 类 号：R574.2[医药卫生—消化系统]