CAJ | 학술논문

目的：探讨泛影葡胺消化道造影在粘连性肠梗阻中的诊断及治疗价值。方法62例粘连性肠梗阻患者应用76%泛影葡胺60~100 ml行消化道造影,动态观察造影剂在胃肠道中的位置及通过情况,以确定梗阻部位及手术时机。结果53例患者造影剂在6~24 h后到达结肠而给予保守治疗,平均症状缓解时间12.5 h,9例患者症状体征加重、造影剂不能到达结肠且行手术治疗,全部患者均痊愈出院。结论粘连性肠梗阻患者应用泛影葡胺消化道造影检查可以明确梗阻部位以及对选择手术时机,具有很好的指导作用,同时可作为治疗粘连性肠梗阻的一种重要手段,值得临床推广应用。
목적：탐토범영포알소화도조영재점련성장경조중적진단급치료개치。방법62례점련성장경조환자응용76%범영포알60~100 ml행소화도조영,동태관찰조영제재위장도중적위치급통과정황,이학정경조부위급수술시궤。결과53례환자조영제재6~24 h후도체결장이급여보수치료,평균증상완해시간12.5 h,9례환자증상체정가중、조영제불능도체결장차행수술치료,전부환자균전유출원。결론점련성장경조환자응용범영포알소화도조영검사가이명학경조부위이급대선택수술시궤,구유흔호적지도작용,동시가작위치료점련성장경조적일충중요수단,치득림상추엄응용。
Objective To investigate the value in diagnosis and treatment of meglumine diatrizoate digestive tract radiography in adhesive intestinal obstruction. Methods A total of 62 patients with adhesive intestinal obstruction underwent digestive tract radiography by 60~100 ml of 76% meglumine diatrizoate. Through dynamic observation of the location and pass condition of contrast medium in gastrointestinal tract, the obstruction position and operation opportunity were determined. Results There were 53 cases receiving conservative treatment with the contrast medium reaching colon in 6~24 h, and their average symptom relieving time was 12.5 h. The other 9 cases underwent surgery for treatment, due to their exacerbated symptoms and signs, while the contrast medium did not reach colon. All cases were cured and left the hospital. Conclusion The application of meglumine diatrizoate digestive tract radiography for adhesive intestinal obstruction patients can clarify the obstruction position, and provide good guide for choosing operation opportunity. It is also an important measure for treating adhesive intestinal obstruction, and it is worthy of clinical promotion and application.