DSA引导下改良与常规肠梗阻导管置入术的疗效对比  

Comparison of DSA Guided Modified and Conventional Intestinal Obstruction Catheterization

作　　者：周森 王文航 刘少博 ZHOU Sen;WANG Wenhang;LIU Shaobo(Department of Gastrointestinal Surgery,Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院胃肠外科,河南驻马店463000

出　　处：《河南医学研究》2025年第2期309-313,共5页Henan Medical Research

摘　　要：目的对比数字减影血管造影(DSA)引导下改良与常规肠梗阻导管置入术的疗效。方法回顾性选取2021年6月至2023年6月驻马店市中心医院医治的80例急性肠梗阻患者作为研究对象,依据手术方法分为改良组(43例)、常规组(37例),前者接受DSA引导下改良肠梗阻导管置入术,后者接受DSA引导下常规肠梗阻导管置入术。比较两组手术指标、手术前后胃肠功能[胃动素(MOT)、血管活性肽(VIP)、胃泌素-17(G-17)]、免疫应激指标[免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)]及并发症。结果与常规组相比,改良组X线气液平面消失时间、临床症状缓解时间、首次排便时间、首次排气时间、住院时间、手术时间较短,一次性置管成功率较高(P<0.05);术后3 d,与常规组相比,改良组G-17、VIP水平较低,MOT水平较高(P<0.05);术后3 d,与常规组相比,改良组IgA、IgM、IgG水平较高(P<0.05);两组并发症发生率相比(2.33%比10.81%),差异无统计学意义(P>0.05)。结论DSA引导下改良肠梗阻导管置入术能促进急性肠梗阻患者胃肠功能快速恢复,减轻机体免疫应激,提高一次性置管成功率。Objective To compare of digital subtraction angiography(DSA)guided modified and conventional intestinal obstruction catheterization.Methods Eighty patients with acute intestinal obstruction treated in Zhumadian Central Hospital from June 2021 to June 2023 were retrospectively selected as the research objects,the patients were divided into improved group(43 cases),conventional group(37 cases)according to surgical methods,the former used DSA guided modified intestinal obstruction catheter placement,and the latter used DSA guided conventional intestinal obstruction catheter placement.The surgical indicators of the two groups were compared,as well as gastrointestinal function[motilin(MOT),vasoactive peptide(VIP),gastrin-17(G-17)],immune stress indicators[immunoglobulin A(IGA),immunoglobulin M(IgM),immunoglobulin G(IgG)]before and after the treatment,the complication was also compared between the two groups.Results Compared with the conventional group,disappearance time of X-ray gas-liquid level,relief time of clinical symptoms,first defecation time,first exhaust time,hospitalization time,operation time were shorter,and the success rate of one-time catheterization was higher in improved group(P<0.05).Three days after operation,compared with the conventional group,the levels of G-17 and VIP in the improved group were lower,and the level of MOT was higher(P<0.05).Three days after operation,compared with the conventional group,the levels of IgA,IgM and IgG in the improved group were higher(P<0.05).Compared with the complication rate of the two groups(2.33%vs 10.81%),the difference was not statistically significant(P>0.05).Conclusion DSA guided modified intestinal obstruction catheterization can promote the rapid recovery of gastrointestinal function in patients with acute intestinal obstruction,reduce immune stress,and improve the success rate of one-time catheterization.

关 键 词：肠梗阻导管置入术 急性肠梗阻 数字减影血管造影 胃肠功能 免疫应激 

分 类 号：R574.2[医药卫生—消化系统]