X线下治疗粘连性不全性小肠梗阻的临床应用.pdf

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1、介人放射学杂志2014年8月第23卷第8期JInterventRadiol2014。Vo1．23．No．8-——725-——·临床研究Clinicalresearch·X线下治疗粘连性不全性小肠梗阻的临床应用韩耀华，杨振江，国世刚，胡志，周泉生【摘要】目的研究阐述非手术无创性x线下治疗粘连性小肠梗阻的新方法，提高粘连性肠梗阻的疗效。方法93例粘连性小肠不全梗阻分为2组，其中治疗组49例实施x线下松解小肠粘连．还纳肠袢间疝等方法，对照组44例实施住院保守治疗，治疗粘连性不全性小肠梗阻，两组患者年龄、性别、病史、病程、X线表现等具有可比性。结果治疗组49例，治愈4O例，治

2、愈率81．6％，平均住院0．3d，治疗平均用时3．3h；对照组44例，治愈37例，治愈率84．1％，平均住院时间7．636d，治疗平均用时183．26h；结论X线下小肠粘连松解术、肠袢间疝还纳术治疗粘连性不全性小肠梗阻的效果优于住院保守治疗。【关键词】肠粘连；肠梗阻；放射摄影术；诊断；治疗中图分类号：R574．2文献标志码：B文章编号：1008．794X(2014)一08—0725．04Fluoroscopy—guidedintestinaladhesionlysisforthetreatmentofincompleteadhesivesmallintestinalo

3、bstruction：aclinicalstudyHANYao-hua，YANGZhen~iang，GUOShi—gang，HUZhi，ZHOUQH帆一sheng．DepartmentofRadiology，ChaoyangMunicipalCentralHospital，Chaoyang，LiaoningProvince122000．CinaCorrespondingauthor：HANYao—hua，E—mail：hangaohuan@126．com【Abstract】0bjectiveToinvestigatetheclinicalefficacyoffluor

4、oscopy—guidedintestinaladhesionlysis，asanewnon-surgicalmethod，intreatingincompleteadhesivesmallintestinalobstructioninordertoimprovethetherapeuticresultsofadhesiveintestinalobstruction．MethodsAtotalof93patientswithincompleteadhesivesmallintestinalobstructionwereenrolledinthisstudy．Thepa

5、tientsweredividedintostudygroup(n=49)andcontrolgroup(n=44)．Fluoroscopy—guidedintestinaladhesionlysistogetherwithrestorationofinter—intestinalloopenterocelewascarriedoutforthepatientsofthestudygroup，whiletraditionalconservativesurgicaltherapywasemployedforthepatientsofthecontrolgroup．The

6、studygroupwascomparablewiththecontrolgroupinpatients’age，gender，medicalhistory，diseasecourse，X-rayfindings，etc．ResultsOfthe49casesinthestudygroup，completecurewasobtainedin40withacurerateof81．6％．Themeanhospitalizationdaywas0．3day．andtheaverageoperationtimewas3．25hours．Amongthe44patientsi

7、nthecontrolgroup．completecurewasobtainedin37withacurerateof84．1％．Themeanhospitalizationdaywas7．6days，andtheaveragetherapeutictimewas183．26hours．ConclusionForthetreatmentofincompleteadhesivesmallintestinalobstruction，thetherapeuticeficacyoffluoroscopy—guidedintestinaladhesionlys