X-ray-guided placement of intestinal obstruction tube for treating malignant bowel obstruction caused by malignant gynecological tumors
10.13929/j.issn.1672-8475.2024.06.005
- VernacularTitle:X线引导下置入肠梗阻导管治疗妇科恶性肿瘤所致恶性肠梗阻
- Author:
Shengzhong LIU
1
;
Minwei ZHANG
;
Ziqiu ZHANG
;
Tianxu ZHAI
;
Dechun LI
Author Information
1. 徐州医科大学徐州临床学院,江苏 徐州 221009
- Keywords:
intestinal obstruction;
neoplasms;
interventional therapy
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(6):334-337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of X-ray-guided placement of intestinal obstruction tube for treating malignant bowel obstruction(MBO)caused by gynecological malignant tumors.Methods Data of 60 patients with intestinal MBO after surgical operations of malignant gynecological tumors,including 30 cases underwent X-ray-guided intestinal obstruction tube placement(group A)and 30 cases underwent traditional nasogastric tube placement(group B),all followed by continuous gastrointestinal decompression were retrospectively analyzed.The remission of MBO symptoms,time of exhaust and defecation,so as diet recovery after treatment were compared between groups.The mean drainage volume within 24 h,tube retention time and treatment-related complications were recorded,and the survival of patients within 1 year after treatment were followed up.Results All 60 patients were successfully catheterized.The time of exhaust and defecation,oral feeding and tube retention time after catheterization in group A were shorter than those in group B(all P＜0.05),while the mean drainage volume within 24 h in group A was larger than that in group B(P＜0.05).No significant difference of relief rate of intestinal obstruction symptoms was found between groups(P=0.472).Minor nasal bleeding occurred in 8 cases,and oropharyngeal discomfort occurred in 4 cases in group A,while each in 5 cases in group B,all relieved without special treatments.No significant difference of treatment-related complication was observed between groups(P=0.361).One year after treatments,28 cases were followed up and 2 cases were lost in both groups,and no significant difference of survival rate was detected between group A(7/28,25.00%)and group B(5/28,17.86%)(P=0.745).Conclusion X-ray-guided placement of intestinal obstruction tube was safe and effective for treating MBO caused by malignant gynecological tumor.
