[1]郭永团,李德春,王光明,等.X线透视下经肛肠梗阻导管置入桥接腹腔镜手术治疗乙状结肠扭转 [J].介入放射学杂志,2024,33(11):1208-1211.
　GUO Yongtuan,LI Dechun,WANG Guangming,et al.Fluoroscopy-guided placement of transanal decompression tube as a bridge measure in laparoscopic surgery of sigmoid volvulus[J].journal interventional radiology,2024,33(11):1208-1211.
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X线透视下经肛肠梗阻导管置入桥接腹腔镜手术治疗乙状结肠扭转
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年11
页码:
1208-1211
栏目:
临床研究
出版日期:
2024-11-20

文章信息/Info

Title:
Fluoroscopy-guided placement of transanal decompression tube as a bridge measure in laparoscopic surgery of sigmoid volvulus
作者:
郭永团; 李德春; 王光明; 权斌; 杜洪涛
Author(s):
GUO Yongtuan; LI Dechun; WANG Guangming; QUAN Bin; DU Hongtao.
Department of Radiology，Xuzhou Municipal Central Hospital，Xuzhou，Jiangsu Province 221009，China
关键词:
【关键词】乙状结肠扭转; 介入放射学; 腹腔镜
文献标志码:
A
摘要:
【摘要】目的探讨X线透视下经肛肠梗阻导管置入桥接腹腔镜手术在乙状结肠扭转患者中的应用价值。方法回顾性分析徐州市中心医院2014年1月至2023年10月收治的21例未发生肠坏死的乙状结肠扭转患者资料。先行X线透视下肠梗阻导管置入治疗，症状消失后行腹腔镜下乙状结肠切除手术。统计介入操作成功率、介入操作时间、24 h临床症状缓解率、介入并发症发生率、中转急诊外科手术率、置管至腹腔镜手术时间，术中肠道情况，术后吻合口瘘、吻合口感染发生率，围手术期病死率。结果21例患者介入操作成功率100%，介入操作时间（9.9±2.5） min，24 h肠扭转症状缓解率100%，21例患者均未出现肠穿孔、肠出血等介入操作并发症，无一例中转外科急诊手术，置管至腹腔镜手术间隔（9.0±2.8） d，术中乙状结肠扭转均已复位，肠壁均无明显充血、水肿，术后1例患者出现吻合口感染，对症处理后痊愈，均未发生吻合口瘘，围手术期无死亡病例发生。结论X线透视下肠梗阻导管置入治疗乙状结肠扭转介入操作简单、安全、有效，将急诊手术转为择期腹腔镜乙状结肠切除一期肠吻合手术，术后并发症发生率、围手术期病死率低。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2023-11-11）
（本文编辑：新宇）
更新日期/Last Update: 2024-11-20