[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:

[1] 梁国刚, 毕 伟, 张盛林, 等. 肠梗阻导管治疗肠梗阻-附36例报告[J]. 中国中西医结合外科杂志, 2006, 12: 191 - 193.
[2] 邵海波, 苏洪英, 徐 克, 等. DSA引导下经鼻肠梗阻减压导管置入术治疗粘连性小肠梗阻[J]. 中国医学影像技术, 2009, 25: 2114 - 2117.
[3] Kanno Y, Hirasawa D, Fujita N, et al. Long intestinal tube insertion with the ropeway method facilitated by a guidewire placed by transnasal ultrathin endoscopy for bowel obstruction[J]. Dig Endosc, 2009, 21: 196 - 200.
[4] Anthony T, Baron T, Mercadante S, et al. Report of the clinical protocol committee: development of randomized trials for malignant bowel obstruction[J]. J Pain Symptom Manage, 2007, 34: S49 - S59.
[5] Kim H, Kim SH, Choi SY, et al. Fluoroscopically guided placement of self-expandable metallic stents and stent-grafts in the treatment of acute malignant colorectal obstruction[J]. J Vasc Interv Radiol, 2008, 19: 1709 - 1716.
[6] Baron TH. Colonic stenting: technique, technology, and outcomes for malignant and benign disease[J]. Gastrointest Endosc Clin N Am, 2005, 15: 757 - 771.
[7] Sato R, Watari J, Tanabe H, et al. Transnasal ultrathin endoscopy for placement of a long intestinal tube in patients with intestinal obstruction[J]. Gastrointest Endosc, 2008, 67: 953 - 957.
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备注/Memo

备注/Memo:
(收稿日期:2011-03-13)
更新日期/Last Update: