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长肠管治疗植物性粪石性肠梗阻的疗效观察

Observation on the curative effect of long intestinal tube in the treatment of phytobezoar intestinal obstruction.

作者信息

Li Liang, Xue Bing, Zhao Qiang, Xie Hong-Qiang, Luan Xue-Rong, Cui Qing

机构信息

Department of Gastrointestinal Surgery.

Department of Internal Medicine, Zibo Central Hospital of Shandong University, Zibo, Shandong, China.

出版信息

Medicine (Baltimore). 2019 Mar;98(11):e14861. doi: 10.1097/MD.0000000000014861.

Abstract

The aim of the study was to observe the curative effect of long intestinal tube (LT) in the treatment of phytobezoar intestinal obstruction.We performed a retrospective study of patients with phytobezoar intestinal obstruction who underwent decompression with different tube insertion method. A total of 80 patients were collected and divided into nasogastric tube (NGT) group (n = 36) and LT group (n = 44) between August 2015 and August 2018 at our hospital. Univariate analysis was used to assess the clinical efficacy of 2 groups of patients.There were no significant differences in the mean age, sex ratio, and previous surgical history between the 2 groups. There were statistically significant differences between the 2 groups in terms of improvement time of clinical indications (4.2 ± 1.4 vs 2.5 ± 0.6 days; P = .008), liquid decompression amount on the first day of catheterization (870.4 ± 400.8 vs 1738.4 ± 460.2 mL; P = .000), transit operation rate (4/36 vs 0/44; P = .023), clinical cure rate (25/36 vs 40/44; P = .014), total treatment efficiency (32/36 vs 44/44; P = .023), and total hospitalization cost (3.25 ± 0.39 vs 2.07 ± 0.41 ¥ ten thousand; P = .000).The curative effect of LT in the treatment of phytobezoar intestinal obstruction is accurate and reliable, which can effectively improve the clinical symptoms of patients, comprehensively improve the non-surgical rate of intestinal obstruction treatment, reduce the total cost of hospitalization, and is worthy of promotion in clinical application.

摘要

本研究旨在观察长肠管(LT)治疗植物性粪石性肠梗阻的疗效。我们对采用不同插管方法进行减压治疗的植物性粪石性肠梗阻患者进行了回顾性研究。2015年8月至2018年8月期间,我院共收集了80例患者,并将其分为鼻胃管(NGT)组(n = 36)和LT组(n = 44)。采用单因素分析评估两组患者的临床疗效。两组患者的平均年龄、性别比例和既往手术史无显著差异。两组在临床指征改善时间(4.2±1.4天 vs 2.5±0.6天;P = 0.008)、置管第一天的液体减压量(870.4±400.8 vs 1738.4±460.2 mL;P = 0.000)、中转手术率(4/36 vs 0/44;P = 0.023)、临床治愈率(25/36 vs 40/44;P = 0.014)、总治疗有效率(32/36 vs 44/44;P = 0.023)以及总住院费用(3.25±0.39 vs 2.07±0.41万元;P = 0.000)方面存在统计学显著差异。LT治疗植物性粪石性肠梗阻的疗效准确可靠,可有效改善患者临床症状,全面提高肠梗阻治疗的非手术率,降低总住院费用,值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cf/6426573/756a7e5894ec/medi-98-e14861-g001.jpg

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