同轴导管技术在经肛插入型肠梗阻导管置入术中的临床应用价值  

Clinical value of coaxial catheter technique in transanal ileus tube implantation

作　　者：杨光耀 胡红耀[2] 余笋 李腾飞[3] 李兵 YANG Guangyao;HU Hongyao;YU Sun;LI Tengfei;LI Bing(Dept.of Interventional Radiology,Xiangzhou District People's Hospital of Xiangyang,Xiangyang 441100,Hubei,China;Dept.of Interventional Radiology,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China;Dept.of Interventional Radiology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]襄阳市襄州区人民医院介入科,湖北襄阳441100 [2]武汉大学人民医院放射介入科,湖北武汉430060 [3]郑州大学第一附属医院放射介入科,河南郑州450000

出　　处：《武汉大学学报（医学版）》2024年第9期1100-1105,共6页Medical Journal of Wuhan University

基　　金：国家自然科学基金资助项目(编号:81801806)。

摘　　要：目的:探讨同轴导管技术在经肛插入型肠梗阻导管置入术的临床应用价值。方法:选取于2018年1月至2022年9月份于襄阳市襄州区人民医院采用同轴导管技术经肛门行肠梗阻导管置入的35例结肠梗阻患者;另选取同期采用传统方法(未采用导引导管同轴交换技术)经肛门置入肠梗阻导管的35例肠梗阻患者。回顾性分析2组患者的临床资料,总结分析在手术时间、术中射线曝光时间以及治疗效果方面的差异。结果:两组患者肠梗阻导管均顺利经肛门置入,技术成功率达100%。其中采用同轴导管技术组患者,手术时间较采用传统术式置入组具有明显统计学差异[(80.69±21.85)min vs(157.06±48.48)min,P<0.001],术中射线曝光时间较传统术式差异具有统计学意义[(25.04±7.11)min vs(49.19±14.40)min,P<0.001);两组患者预后比较,其中19例(27.1%)患者痊愈(同轴组8例,传统组11例),组间差异无统计学意义(P=0.420);19例(27.1%)患者后期行一期手术切除/结肠支架植入(同轴组11例,传统组8例),组间差异无统计学意义(P=0.420);27例(38.6%)患者术后肠梗阻症状得到明显好转(同轴组13例,传统组14例),组间差异无统计学意义(P=0.806);余5名患者(7.1%)经内科治疗无效和(或)失去手术机会,最终院内死亡或自动出院(同轴组3例,传统组2例),组间差异无统计学意义(P=1.000)。结论:在经肛插入型肠梗阻导管置入术中采用同轴导管技术可降低手术难度,缩短术程,减少射线曝光时间,降低术者及患者射线辐照量。Objective:To investigate the clinical application value of coaxial catheter technology in transanal ileus tube intestinal obstruction catheterization.Methods:From January 2018 to September 2022,a total of 35 patients with colonic obstruction were selected from Xiangzhou District People's Hospital of Xiangyang,who underwent transanal intestinal obstruction catheter placement using coaxial catheter technology;Another 35 patients with intestinal obstruction and were implanted with the traditional method(without using the coaxial catheter technology)were set as traditional group.The clinical data of the two groups were retrospectively analyzed,and the differences in operation time,intraoperative radiation exposure time,and treatment effect were compared.Results:The ileus tube was successful-ly inserted through the anus in both groups,and the technical success rate was 100%.The operation time of the coaxial catheter group was significantly shorter than that in the control group as(80.69±21.85)min vs.(157.06±48.48)min(P<0.001).The exposure time of intraoperative radiation was shorter as compared with that of the traditional group,as(25.04±7.11)min vs.(49.19±14.40)min(P<0.001).After treatment,19 cases(27.1%)were cured(8 cases in the coaxial catheter group and 11 cases in the traditional group),and no significant difference was found between the two groups(P=0.420).A total of 19 patients(27.1%)underwent one-stage surgical resection/colonic stent im-plantation(11 cases in the coaxial catheter group and 8 cases in the traditional group),and there was no significant difference between the two groups(P=0.420).Twenty-seven patients(38.6%)were significantly improved(13 cases in the coaxial catheter group and 14 cases in the traditional group),and there was no significant difference between the two groups(P=0.806).The remaining 5 patients(7.1%)lost the opportunity for surgery and eventually died in hospital or discharged from the hospital(3 cases in the coaxial group and 2 cases in the traditional group),with no significant

关 键 词：同轴导管技术 导引导管 肠梗阻 经肛插入型肠梗阻导管置入 

分 类 号：R574[医药卫生—消化系统]