Li Rui-Hong, Li De-Chun, Lv Xiao-Peng, Quan Bin
Department of Digestion, Affiliated Xuzhou Hospital, The Central Hospital of Xuzhou, Dongnan University, Xuzhou, 221009, Jiangsu, China.
Department of Radiation, Affiliated Xuzhou Hospital, The Central Hospital of Xuzhou, Dongnan University, 199 Jiefangnan Road, Xuzhou, 221009, Jiangsu, China.
Cell Biochem Biophys. 2015 Jun;72(2):509-14. doi: 10.1007/s12013-014-0496-1.
This study describes clinical experience and curative effect of radiophotographically controlled nasointestinal intubation in the treatment of small intestine arrangement in recurrent postoperative adhesive ileus. A 300-cm-long nasointestinal tube was installed into the jejunum through the nasal cavity under radiophotographic observation in 25 patients with recurrent postoperative adhesive ileus. The tube was advanced into the ileum by enterokinesia to relieve adhesive ileus and conduct small bowel arrangement. Duration of tube installation was 13 ± 11 min (range of 9-36 min). The success rate was 88 %. In 3 patients, assistance by a gastroscope was required. Twenty-one out of 25 patients were cured, making the cure rate of 84 %. The time for intestinal arrangement was 18.5 ± 3 days. The patients were followed up for 6 months to 2 years; there was 1 case of recurrence, while other patients recovered smoothly with no recurrence. A non-surgical nasointestinal intubation under radiophotography is a simple, safe, and effective management with few complications and beneficial outcome in recurrent postoperative adhesive ileus.
本研究描述了X线透视下鼻肠管置入术治疗术后复发性粘连性肠梗阻小肠排列的临床经验及疗效。对25例术后复发性粘连性肠梗阻患者在X线透视观察下经鼻腔将一根300 cm长的鼻肠管置入空肠，通过肠动力将导管推进至回肠以缓解粘连性肠梗阻并进行小肠排列。置管时间为13±11分钟（9 - 36分钟）。成功率为88%。3例患者需要胃镜辅助。25例患者中有21例治愈，治愈率为84%。小肠排列时间为18.5±3天。对患者随访6个月至2年；有1例复发，其他患者恢复顺利无复发。X线透视下非手术鼻肠管置入术是一种简单、安全、有效的治疗方法，并发症少，对术后复发性粘连性肠梗阻疗效良好。
