Finan M A, Barton D P, Fiorica J V, Hoffman M S, Roberts W S, Gleeson N, Cavanagh D
Department of Obstetrics and Gynecology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, USA.
South Med J. 1995 May;88(5):539-42.
Postoperative ileus following gynecologic surgery can prolong hospitalization and may predispose patients to mechanical obstruction. Our objective was to study the safety and efficacy of a water-soluble, hyperosmolar, radiocontrast material in the management of postoperative ileus in patients having gynecologic surgery. Of 115 cases, 57 were studied prospectively and received water-soluble radio-opaque contrast material via a nasogastric tube if bowel function had not returned by the third day. Fifty-eight well-matched control cases were managed without this material and received a suppository on the third day. The contrast material was well tolerated. Return of bowel function, day of oral intake, subsequent postoperative recovery, and duration of hospital stay were similar in the two groups. Water-soluble, hyperosmolar, radio-opaque contrast material given on the third postoperative day was safe, but of no apparent clinical benefit in resolving ileus following gynecologic surgery.
妇科手术后的肠梗阻会延长住院时间，并可能使患者易患机械性肠梗阻。我们的目的是研究一种水溶性、高渗性、放射性造影剂在妇科手术患者术后肠梗阻管理中的安全性和有效性。在115例病例中，对57例进行了前瞻性研究，如果术后第三天肠道功能仍未恢复，则通过鼻胃管给予水溶性不透射线造影剂。另外58例匹配良好的对照病例未使用这种材料进行处理，而是在第三天给予栓剂。造影剂耐受性良好。两组患者的肠道功能恢复情况、开始经口进食的时间、随后的术后恢复情况以及住院时间相似。术后第三天给予水溶性、高渗性、不透射线造影剂是安全的，但在解决妇科手术后的肠梗阻方面没有明显的临床益处。
