CAJ | 학술논문

目的探讨在X线监视下通过非手术方法经鼻置人肠梗阻导管在小肠内支撑排列治疗粘连性肠梗阻的临床经验与疗效.方法 16例术后反复粘连性肠梗阻患者,在X线监视下,将300 cm长的肠梗阻导管经鼻置入屈氏韧带10 cm以远的空肠部位,导管前端带有充水球囊,在肠蠕动的推动下直接扩张狭窄肠腔,同时带动导管不断向小肠远端移行,直达回肠末端,解除肠梗阻,保留导管作为肠内支架,起到小肠内置管支撑排列的作用.结果 16例患者治疗顺利,无并发症发生.随访8个月至2年,1例4个月后再发粘连性肠梗阻,余15例未再发生粘连性肠梗阻.结论 X线下经鼻置入肠梗阻导管非手术小肠内置管支撑排列治疗术后反复粘连性肠梗阻简便、无创、安全、有效,可以重复置管治疗.
목적 탐토재X선감시하통과비수술방법경비치인장경조도관재소장내지탱배렬치료점련성장경조적림상경험여료효.방법 16례술후반복점련성장경조환자,재X선감시하,장300 cm장적장경조도관경비치입굴씨인대10 cm이원적공장부위,도관전단대유충수구낭,재장연동적추동하직접확장협착장강,동시대동도관불단향소장원단이행,직체회장말단,해제장경조,보류도관작위장내지가,기도소장내치관지탱배렬적작용.결과 16례환자치료순리,무병발증발생.수방8개월지2년,1례4개월후재발점련성장경조,여15례미재발생점련성장경조.결론 X선하경비치입장경조도관비수술소장내치관지탱배렬치료술후반복점련성장경조간편、무창、안전、유효,가이중복치관치료.
Objective To summarize the clinical experience and efficiency of pernasal intestinal intubation internal intestinal arrangement under radiophotography in treatment of adhesive ileus. Method Three hundred cm-long ileus tube was set to jejunum by nasal cavity under radiophotography observation in 16 cases with recurrent postoperative adhesive ileus,ileus tube was impulsed by enterokinesia to ileum end to relief adhesive ileus and conduct internal intestinal arrangement. Results Sixteen cases recovered smoothly with no complications, which were followed from 8 months to 2 years, 1 case re-occurred adhesive ileus, and the other 15 cases had no intestinal adhesion and obstruction occurred. Conclusion Pernasal intestinal intubation internal intestinal arrangement under radiophotography is a simple,safe and effective management in treating recurrent postoperative adhesive ileus with less complications and reliable outcome.