中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
10期
31-34
,共4页
沈毅慧%张立献%石磊%迟洪霞%侯慧清%袁友华
瀋毅慧%張立獻%石磊%遲洪霞%侯慧清%袁友華
침의혜%장립헌%석뢰%지홍하%후혜청%원우화
肠梗阻%结肠肿瘤%超细内镜%肠梗阻减压导管
腸梗阻%結腸腫瘤%超細內鏡%腸梗阻減壓導管
장경조%결장종류%초세내경%장경조감압도관
Intestinal obstruction%Colonic neoplasms%Superslim endoscopes%Ileus depressed tube
目的 探讨超细内镜放置经肛型肠梗阻减压导管在左半结直肠癌性肠梗阻中的应用.方法 选择左半结直肠癌性肠梗阻患者32例,按随机数字表法分为普通肠镜组与超细内镜组,每组16例,比较两组置管成功率、置管操作时间及接触X线时间.结果 普通肠镜组16例患者,成功15例,失败1例；超细内镜组成功13例,失败3例,两组置管成功率比较差异无统计学意义(x2=1.143,P=0.285).在两组置管成功的病例中,普通肠镜组置管操作时间为(42±15) min,超细内镜组置管操作时间为(20±6)min,两组比较差异有统计学意义(t=3.895,P=0.005).普通肠镜组接触X线时间为(20±12) min,超细内镜组接触X线时间为(5±2)min,两组比较差异有统计学意义(t=-3.596,P=0.007).结论 超细内镜结合无痛麻醉技术的应用,可使经肛型肠梗阻减压导管的置入更安全、简便.
目的 探討超細內鏡放置經肛型腸梗阻減壓導管在左半結直腸癌性腸梗阻中的應用.方法 選擇左半結直腸癌性腸梗阻患者32例,按隨機數字錶法分為普通腸鏡組與超細內鏡組,每組16例,比較兩組置管成功率、置管操作時間及接觸X線時間.結果 普通腸鏡組16例患者,成功15例,失敗1例；超細內鏡組成功13例,失敗3例,兩組置管成功率比較差異無統計學意義(x2=1.143,P=0.285).在兩組置管成功的病例中,普通腸鏡組置管操作時間為(42±15) min,超細內鏡組置管操作時間為(20±6)min,兩組比較差異有統計學意義(t=3.895,P=0.005).普通腸鏡組接觸X線時間為(20±12) min,超細內鏡組接觸X線時間為(5±2)min,兩組比較差異有統計學意義(t=-3.596,P=0.007).結論 超細內鏡結閤無痛痳醉技術的應用,可使經肛型腸梗阻減壓導管的置入更安全、簡便.
목적 탐토초세내경방치경항형장경조감압도관재좌반결직장암성장경조중적응용.방법 선택좌반결직장암성장경조환자32례,안수궤수자표법분위보통장경조여초세내경조,매조16례,비교량조치관성공솔、치관조작시간급접촉X선시간.결과 보통장경조16례환자,성공15례,실패1례；초세내경조성공13례,실패3례,량조치관성공솔비교차이무통계학의의(x2=1.143,P=0.285).재량조치관성공적병례중,보통장경조치관조작시간위(42±15) min,초세내경조치관조작시간위(20±6)min,량조비교차이유통계학의의(t=3.895,P=0.005).보통장경조접촉X선시간위(20±12) min,초세내경조접촉X선시간위(5±2)min,량조비교차이유통계학의의(t=-3.596,P=0.007).결론 초세내경결합무통마취기술적응용,가사경항형장경조감압도관적치입경안전、간편.
Objective To discuss the application of transanal placement of ileus tube in treatment of colonic obstruction in left colorectal cancer.Methods Thirty-two patients with left malignant colorectal obstruction were divided into ordinary colonoscope group (16 cases) and superslim endoscope group (16 cases) by random digits table.The catheter success rate,catheter operating time and exposure to X-ray time was compared between two groups.Results Fifteen cases were successful and 1 case was failed in ordinary colonoscope group.Thirteen cases were successful and 3 cases were failed in superslim endoscope group.There was no significant difference in the catheter success rate between two groups (x2 =1.143,P =0.285).The catheter operating time was (42 + 15),(20 +6) min in ordinary colonoscope group and superslim endoscope group,and there was significant difference between two groups (t =3.895,P =0.005).The exposure to X-ray time was (20 + 12),(5 + 2) min,and there was significant difference between two groups (t =-3.596,P =0.007).Conclusion Transanal placement of ileus tube is more successful and convenient by superslim endoscope combined with anesthesia than by ordinary colonoscope.
