[1]方世明,李海利,林　　　青,等. Ｘ线引导下鼻肠梗阻导管插入引流治疗不能手术的恶性肠梗阻[J].介入放射学杂志,2011,(12):979-983.
　FANG Shi-ming,LI Hai-li,LIN Qing,et al.Fluoroscopically-guided transnasal insertion of ileus tube for intestinal decompression in patients with inoperable malignant bowel obstruction[J].journal interventional radiology,2011,(12):979-983.
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 Ｘ线引导下鼻肠梗阻导管插入引流治疗不能手术的恶性肠梗阻 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年12期
页码:
979-983
栏目:
非血管介入
出版日期:
2011-12-30

文章信息/Info

Title:
Fluoroscopically-guided transnasal insertion of ileus tube for intestinal decompression in patients with inoperable malignant bowel obstruction
作者:
 方世明; 　　　李海利; 　　　林　　　青; 　　　茅爱武; 　　　吴邵秋; 　　　姜昊声; 　　　曹　　　燕; 　　　王震磊
200050 上海 上海长宁区同仁医院介入诊疗中心；内蒙古医学院第三附属医院
Author(s):
FANG Shi-ming;  LI Hai-li;  LIN Qing;  MAO Ai-wu;  WU Shao-qiu;  JIANG Hao-sheng;  CAO Yan;  WANG Zhen-lei.
Interventional Therapeutic Center, Shanghai St. Luke＇s Hospital, Shanghai 200050, China

关键词:
 ; 【关键词】 恶性肿瘤;  肠梗阻;  鼻肠管;  引流
分类号:
R735
文献标志码:
A
摘要:
 【摘要】 目的 评价Ｘ线引导下经鼻插入鼻肠梗阻导管治疗不能手术的恶性肠梗阻的技术可行性和疗效。方法 Ｘ线引导下应用传统法（７６例）或导丝导管交换法（１３５例）经鼻插入鼻肠梗阻导管引流治疗不能手术的恶性肠梗阻患者２１１例（ＫＰＳ ２０　～　６０分，中位４０分），统计技术成功率、临床有效率、治愈率和不良反应及并发症发生情况；分析梗阻部位、梗阻原因与疗效关系。鼻肠梗阻导管采用库利艾特公司生产的四腔双球囊导管，管径为１６ Ｆ／１８ Ｆ。结果　　　总技术成功率１００％，传统法和导丝导管交换法一次性成功率分别为８５．５％（６５／７６）和１００％（１３５／１３５），两种方法比较差异有统计学意义（Ｐ　＜　０．０５）。术后２４ ｈ，高位小肠、低位小肠和结直肠梗阻的临床有效率分别为９５．８％（４６／４８），９２．９％（１１７／１２６）和８３．８％（３１／３７）。随访４　～　２４５ ｄ（平均１３８ ｄ），总临床治愈率２７．５％（５８／２１１），肿瘤性与粘连性梗阻的临床治愈率分别为２２．７％（４２／１９４）和９４．１％（１６／１７），两者间差异有统计学意义（Ｐ　＜　０．０５）。小肠和结直肠恶性梗阻的临床治愈率分别为１２．７％（２０／１５７）和５９．５％（２２／３７），两者间差异有统计学意义（Ｐ　＜　０．０５）。不良反应及并发症包括咽部不适或疼痛９９．１％（１９９／２１１）、导管阻塞２３．２％（４９／２１１）、导管脱落１．９％（４／２１１）、 导管断裂０．１％（２／２１１）、肠出血０．１％（２／２１１）、肠穿孔０．１％（１／２１１），总的严重并发症发生率为４．７％，涉及咽部剧痛、肠出血、肠穿孔、导管断裂；无与死亡相关的并发症。结论　Ｘ引导下经鼻肠梗阻导管插入引流治疗不能手术的恶性肠梗阻安全、有效，尤其适用于术后粘连性小肠梗阻以及结肠直肠恶性狭窄支架置入前的评估和治疗。

参考文献/References:

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备注/Memo:
(收稿日期:2011-03-13)
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