肠梗阻导管治疗结直肠癌手术后早期炎症性肠梗阻_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

李晗 ^1,2 , 李畅 ¹ , 苏妍卓 ¹ , 崔明福 ¹ ,  孙立波 ¹

1. ;
2. ;

Corresponding author：

孙立波, Email: sunlibo0431@sina.com

Keywords：

肠梗阻导管; 术后早期炎症性肠梗阻; 结直肠癌

DOI：

10.7507/1007-9424.202012025

Video：

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目的探讨肠梗阻导管在非手术治疗结直肠癌术后早期炎症性肠梗阻（EPISBO）中的临床效果。方法选取 2013 年 1 月至 2019 年 7 月期间符合诊断标准的 68 例 EPISBO 患者为研究对象，根据治疗方法的不同分为应用鼻胃管的常规治疗组（简称鼻胃管组）37 例和应用肠梗阻导管治疗组（简称导管组）31 例，观察 2 组患者的日均胃肠减压量、总胃肠减压量以及肠功能恢复时间。结果 2 组间手术方式、手术时间、麻醉时间和手术后梗阻发生时间比较差异均无统计学意义（P>0.05）；导管组的日均胃肠减压量和总胃肠减压量均多于鼻胃管组（P<0.001）；导管组的恢复肛门排气时间（P<0.001）和恢复排便时间（P=0.001）均短于鼻胃管组。结论应用肠梗阻导管治疗结直肠癌手术后 EPISBO，可以提高肠管减压效果，加快肠功能恢复，进而缩短治疗时间。

Citation： 李晗, 李畅, 苏妍卓, 崔明福, 孙立波. 肠梗阻导管治疗结直肠癌手术后早期炎症性肠梗阻. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(8): 1078-1080. doi: 10.7507/1007-9424.202012025 Copy

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2.	Sajja SB, Schein M. Early postoperative small bowel obstruction. Br J Surg, 2004, 91(6): 683-691.
3.	Suwa K, Ushigome T, Ohtsu M, et al. Risk factors for early postoperative small bowel obstruction after anterior resection for rectal cancer. World J Surg, 2018, 42(1): 233-238.
4.	Zielinski MD, Bannon MP. Current management of small bowel obstruction. Adv Surg, 2011, 45: 1-29.
5.	Guo MJ. Investigation into early postoperative inflammatory small bowel obstruction by applying gastrointestinal decompression. J Biol Regul Homeost Agents, 2016, 30(3): 811-814.
6.	Guo SB, Duan ZJ. Decompression of the small bowel by endoscopic long-tube placement. World J Gastroenterol, 2012, 18(15): 1822-1826.
7.	Chen XL, Ji F, Lin Q, et al. A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction. World J Gastroenterol, 2012, 18(16): 1968-1974.
8.	陈启仪, 姜军. 小肠梗阻诊断和治疗的再认识. 中华胃肠外科杂志, 2017, 20(10): 1136-1140.
9.	Burneikis D, Stocchi L, Steiger E, et al. Parenteral nutrition instead of early reoperation in the management of early postoperative small bowel obstruction. J Gastrointest Surg, 2020, 24(1): 109-114.
10.	Köstenbauer J, Truskett PG. Current management of adhesive small bowel obstruction. ANZ J Surg, 2018, 88(11): 1117-1122.
11.	黄涛, 姚红艳, 邓锋, 等. 快速康复外科对术后早期炎症性肠梗阻的影响和再认识. 世界华人消化杂志, 2017, 25(1): 96-101.
12.	Maglinte DD, Kelvin FM, Rowe MG, et al. Small-bowel obstruction: optimizing radiologic investigation and nonsurgical management. Radiology, 2001, 218(1): 39-46.
13.	Jeong WK, Lim SB, Choi HS, et al. Conservative management of adhesive small bowel obstructions in patients previously operated on for primary colorectal cancer. J Gastrointest Surg, 2008, 12(5): 926-932.
14.	Long B, Robertson J, Koyfman A. Emergency medicine evaluation and management of small bowel obstruction: evidence-based recommendations. J Emer Med, 2019, 56(2): 166-176.
15.	Miyakita H, Sadahiro S, Saito G, et al. Risk scores as useful predictors of perioperative complications in patients with rectal cancer who received radical surgery. Int J Clin Oncol, 2017, 22(2): 324-331.
16.	田延锋, 刘学刚, 吴国斌. 术后早期肠梗阻临床分析(附 10 例报告). 中国普外基础与临床杂志, 2002, 9(2): 129-130.

1. 黎介寿. 《认识术后早期炎症性肠梗阻的特性》一文发表 10 年感晤. 中国实用外科杂志, 2009, 29(4): 283-284.
2. Sajja SB, Schein M. Early postoperative small bowel obstruction. Br J Surg, 2004, 91(6): 683-691.
3. Suwa K, Ushigome T, Ohtsu M, et al. Risk factors for early postoperative small bowel obstruction after anterior resection for rectal cancer. World J Surg, 2018, 42(1): 233-238.
4. Zielinski MD, Bannon MP. Current management of small bowel obstruction. Adv Surg, 2011, 45: 1-29.
5. Guo MJ. Investigation into early postoperative inflammatory small bowel obstruction by applying gastrointestinal decompression. J Biol Regul Homeost Agents, 2016, 30(3): 811-814.
6. Guo SB, Duan ZJ. Decompression of the small bowel by endoscopic long-tube placement. World J Gastroenterol, 2012, 18(15): 1822-1826.
7. Chen XL, Ji F, Lin Q, et al. A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction. World J Gastroenterol, 2012, 18(16): 1968-1974.
8. 陈启仪, 姜军. 小肠梗阻诊断和治疗的再认识. 中华胃肠外科杂志, 2017, 20(10): 1136-1140.
9. Burneikis D, Stocchi L, Steiger E, et al. Parenteral nutrition instead of early reoperation in the management of early postoperative small bowel obstruction. J Gastrointest Surg, 2020, 24(1): 109-114.
10. Köstenbauer J, Truskett PG. Current management of adhesive small bowel obstruction. ANZ J Surg, 2018, 88(11): 1117-1122.
11. 黄涛, 姚红艳, 邓锋, 等. 快速康复外科对术后早期炎症性肠梗阻的影响和再认识. 世界华人消化杂志, 2017, 25(1): 96-101.
12. Maglinte DD, Kelvin FM, Rowe MG, et al. Small-bowel obstruction: optimizing radiologic investigation and nonsurgical management. Radiology, 2001, 218(1): 39-46.
13. Jeong WK, Lim SB, Choi HS, et al. Conservative management of adhesive small bowel obstructions in patients previously operated on for primary colorectal cancer. J Gastrointest Surg, 2008, 12(5): 926-932.
14. Long B, Robertson J, Koyfman A. Emergency medicine evaluation and management of small bowel obstruction: evidence-based recommendations. J Emer Med, 2019, 56(2): 166-176.
15. Miyakita H, Sadahiro S, Saito G, et al. Risk scores as useful predictors of perioperative complications in patients with rectal cancer who received radical surgery. Int J Clin Oncol, 2017, 22(2): 324-331.
16. 田延锋, 刘学刚, 吴国斌. 术后早期肠梗阻临床分析(附 10 例报告). 中国普外基础与临床杂志, 2002, 9(2): 129-130.

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肠梗阻导管治疗结直肠癌手术后早期炎症性肠梗阻

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