Clinical application of nasal-insertion type ileus-tube in treating adhesive small intestinal obstruction
10.3969/j.issn.1008-794X.2015.05.017
- VernacularTitle:经鼻插入型肠梗阻导管治疗粘连性小肠梗阻的临床应用
- Author:
Jiangnan DONG
;
Xiaoyan CAI
;
Delin QIAO
;
Shiwei CHEN
;
Zhiqiang YANG
;
Qiang LV
;
Qi SUN
;
Yayun ZHANG
;
Ronglong XIA
- Publication Type:Journal Article
- Keywords:
adhesive small intestinal obstruction;
ileus-tube;
therapeutic effect
- From:
Journal of Interventional Radiology
2015;(5):430-433
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of nasal-insertion type ileus-tube in the treatment of adhesive small intestinal obstruction. Methods A total of 221 patients with simple adhesive small intestinal obstruction, who were admitted to authors’ hospital during the period from January 2010 to Aug. 2014, were enrolled in this study. The patients were randomly divided into nasal-insertion type ileus-tube group (n=111) and nasogastric tube group (n=110). After the procedure, the patients were kept under close observation, focusing on the abdominal distention, gastrointestinal decompression amount, the recovery time of anal exhaustion and defecation, the vanishing time of intestinal air-liquid plane on erect abdominal X-ray film, etc. The cure rate, effective rate and transit-operation rate were calculated. The results were compared between the two groups. Results The tube placement operation was successfully performed in all patients. Compared with the nasogastric tube group, in the nasal-insertion type ileus-tube group the recovery time of abdominal distention, anal exhaustion and defecation and the vanishing time of intestinal air-liquid plane on erect abdominal X-ray film were obviously shorter, and the gastrointestinal decompression amount was larger. In the nasal-insertion type ileus-tube group the cure rate and effective rate were significantly increased, while the transit-operation rate was decreased; the differences between the two groups were statistically significant (P<0.05). Conclusion For the treatment of adhesive small intestinal obstruction, the placement of nasal-insertion type ileus-tube is effective and reliable. This technique can strikingly improve the clinical symptoms, therefore, it is worthy of promotion and application in clinical practice.
