腸梗阻導管治療結直腸癌手術后早期炎癥性腸梗阻_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

李晗 ^1,2 , 李暢 ¹ , 蘇妍卓 ¹ , 崔明福 ¹ ,  孫立波 ¹

1. ;
2. ;

Corresponding?author：

孫立波, Email: sunlibo0431@sina.com

Keywords：

腸梗阻導管; 術后早期炎癥性腸梗阻; 結直腸癌

DOI：

10.7507/1007-9424.202012025

Video：

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目的探討腸梗阻導管在非手術治療結直腸癌術后早期炎癥性腸梗阻（EPISBO）中的臨床效果。方法選取 2013 年 1 月至 2019 年 7 月期間符合診斷標準的 68 例 EPISBO 患者為研究對象，根據治療方法的不同分為應用鼻胃管的常規治療組（簡稱鼻胃管組）37 例和應用腸梗阻導管治療組（簡稱導管組）31 例，觀察 2 組患者的日均胃腸減壓量、總胃腸減壓量以及腸功能恢復時間。結果 2 組間手術方式、手術時間、麻醉時間和手術后梗阻發生時間比較差異均無統計學意義（P>0.05）；導管組的日均胃腸減壓量和總胃腸減壓量均多于鼻胃管組（P<0.001）；導管組的恢復肛門排氣時間（P<0.001）和恢復排便時間（P=0.001）均短于鼻胃管組。結論應用腸梗阻導管治療結直腸癌手術后 EPISBO，可以提高腸管減壓效果，加快腸功能恢復，進而縮短治療時間。

Citation： 李晗, 李暢, 蘇妍卓, 崔明福, 孫立波. 腸梗阻導管治療結直腸癌手術后早期炎癥性腸梗阻. 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.	陳啟儀, 姜軍. 小腸梗阻診斷和治療的再認識. 中華胃腸外科雜志, 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.	K?stenbauer J, Truskett PG. Current management of adhesive small bowel obstruction. ANZ J Surg, 2018, 88(11): 1117-1122.
11.	黃濤, 姚紅艷, 鄧鋒, 等. 快速康復外科對術后早期炎癥性腸梗阻的影響和再認識. 世界華人消化雜志, 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.	田延鋒, 劉學剛, 吳國斌. 術后早期腸梗阻臨床分析(附 10 例報告). 中國普外基礎與臨床雜志, 2002, 9(2): 129-130.

1. 黎介壽. 《認識術后早期炎癥性腸梗阻的特性》一文發表 10 年感晤. 中國實用外科雜志, 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. 陳啟儀, 姜軍. 小腸梗阻診斷和治療的再認識. 中華胃腸外科雜志, 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. K?stenbauer J, Truskett PG. Current management of adhesive small bowel obstruction. ANZ J Surg, 2018, 88(11): 1117-1122.
11. 黃濤, 姚紅艷, 鄧鋒, 等. 快速康復外科對術后早期炎癥性腸梗阻的影響和再認識. 世界華人消化雜志, 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. 田延鋒, 劉學剛, 吳國斌. 術后早期腸梗阻臨床分析(附 10 例報告). 中國普外基礎與臨床雜志, 2002, 9(2): 129-130.

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腸梗阻導管治療結直腸癌手術后早期炎癥性腸梗阻

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