The clinical observation of duodenal catheter decompression and intubation by the jejunum ostomy duodenal decompression in the treatment of duodenal trauma
10.3760/cma.j.issn.1008-6706.2012.24.005
- VernacularTitle:经十二指肠置管减压术联合经空肠造瘘插管十二指肠减压术治疗十二指肠创伤
- Author:
Weishuai WANG
;
Shuya LIU
;
Yongkang LI
- Publication Type:Journal Article
- Keywords:
Duodenal diseases;
Decompression,surgical;
Jejunostomy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;(24):3689-3691
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of treatment of duodenal trauma intubation duodenal decompression jejunostomy jointly by the duodenal catheter decompression.Methods 60 patients with duodenal trauma were randomly divided into two groups,30 cases were treated with simple duodenal catheter decompression as control group,30 cases treated with duodenal catheter decompression joint jejunum ostomy intubation duodenal decompression as the observation group,generally observed two groups of patients surgery and postoperative complications,in the day of surgery and postoperative 7d evaluation of patients with nutritional status.Results The surgical time and blood loss of the two groups had no statistically significant difference(P＞0.05),the observation group had no case of duodenal fistula and four cases in the control group(13.33％)occumed duodenal fistula.The difference between the two groups was statistically significant(x2=4.286,P＜0.05).Postoperative concurrent abdominal abscess,lung infection,wound infection had no statistically significant differences(P＞0.05).After observation group 7d body mass and right upper arm muscle circumference stability was significantly higher than that in the control group(x2=7.519,9.868,both P＜0.05).Conclusion Jejunostomy joint duodenal catheter decompression intubation duodenal decompression in treatment of duodenal trauma surgical decompression had significant effect,can significantly reduce the incidence of fistula,improve patients nutritional status,promote the duodenal wound healing.
