The application value of endoscopic transnasal ileus tube in the adhesive intestinal obstruction

doi:10.3877/cma.j.issn.1674-6899.2016.03.003

Abstract

Abstract:

Objective

The aim of this study was to investigate the application value of ileus tube arranged in treating the adhesive intestinal obstruction.

Methods

Thirty cases with adhesive intestinal obstruction from Sep. 2012 to Sep. 2013 in the department of gastrointestinal surgery of China Japan Union Hospital of Jilin University were analysed retrospectively, of which, fifteen cases underwent ileus tube decompression before operation and got intestinal arrangement with ileus tube, as the observation group; another fifteen cases underwent gastrointestinal decompression treatment before operation, without intestinal arrangement, as the control group. We compared two groups of patients with operation time, bleeding volume during operation, postoperative exhaust time, hospitalization time, postoperative recurrence of intestinal obstruction.

Results

The postoperative exhaust time of the observation group was (1.52 ± 0.87) days and the postoperative recurrence rate was 6.7%. The postoperative exhaust time of the control group was (2.63 ± 0.59 )days and the postoperative recurrence rate was 40.0%.The two groups in operative time, bleeding volume and hospitalization time had no significant difference (P>0.05), but the chance in the postoperative exhaust time and postoperative recurrence of intestinal obstruction, the observation group was significantly better than the control group[(1.52 ± 0.87)days vs (2.63 ± 0.59) days (P=0.013), 1 case vs 6 cases (P=0.001)].

Conclusions

Intestinal arrangement with ileus tube can effectively improve the postoperative intestinal function recovery, and prevent the recurrence of adhesive intestinal obstruction.

Key words: Transnasal ileus tube, Intestinal arrangement, Adhesive intestinal obstruction, Operation

Chang Li, Lin Chen, Xiangbo Meng, Jinpeng Wang, Lianjun Ma. The application value of endoscopic transnasal ileus tube in the adhesive intestinal obstruction[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(03): 136-138.

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Figures/Tables 3

References 13

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临床指标		观察组(15例)	对照组(15例)	P值
年龄(岁)		42.46±15.36	43.86±15.18	0.85
性别(例)		?	?	0.74
?	男性	7	6	?
?	女性	8	9	?
实验室检查		?	?	?
?	红细胞计数(×10¹²/L)	3.84±0.47	3.73±0.34	0.47
?	白细胞计数(×10⁹/L)	9.44±3.41	10.7±4.21	0.24
?	血红蛋白(g/L)	115.70±15.67	113.0±13.57	0.62

临床指标		观察组(15例)	对照组(15例)	P值
年龄(岁)		42.46±15.36	43.86±15.18	0.85
性别(例)		?	?	0.74
?	男性	7	6	?
?	女性	8	9	?
实验室检查		?	?	?
?	红细胞计数(×10¹²/L)	3.84±0.47	3.73±0.34	0.47
?	白细胞计数(×10⁹/L)	9.44±3.41	10.7±4.21	0.24
?	血红蛋白(g/L)	115.70±15.67	113.0±13.57	0.62

既往腹部手术史		例数(30例)	百分比(%)
1次(例)		20	66.7
?	阑尾切除术	5	?
?	剖宫产术	3	?
?	结肠癌术	3	?
?	胃癌根治术	3	?
?	宫颈癌根治术	2	?
?	嵌顿疝术	1	?
?	子宫肌瘤术	1	?
?	肝破裂修补术	1	?
?	卵巢切除术	1	?
2次(例)		9	30.0
?	阑尾切除术、剖宫产术	5	?
?	阑尾切除术、胃癌根治术	1	?
?	十二指肠穿孔修补术、小肠切除术	1	?
?	胃大部分切除术、十二指肠破裂修补术	1	?
?	阑尾切除术、结肠癌术根治术	1	?
3次(例)		1	3.3
?	剖宫产术、阑尾切除术、粘连松解术	1	?

既往腹部手术史		例数(30例)	百分比(%)
1次(例)		20	66.7
?	阑尾切除术	5	?
?	剖宫产术	3	?
?	结肠癌术	3	?
?	胃癌根治术	3	?
?	宫颈癌根治术	2	?
?	嵌顿疝术	1	?
?	子宫肌瘤术	1	?
?	肝破裂修补术	1	?
?	卵巢切除术	1	?
2次(例)		9	30.0
?	阑尾切除术、剖宫产术	5	?
?	阑尾切除术、胃癌根治术	1	?
?	十二指肠穿孔修补术、小肠切除术	1	?
?	胃大部分切除术、十二指肠破裂修补术	1	?
?	阑尾切除术、结肠癌术根治术	1	?
3次(例)		1	3.3
?	剖宫产术、阑尾切除术、粘连松解术	1	?

项目	观察组(15例)	对照组(15例)	P值
手术时间(min)	79.34±28.0	70.60±33.42	0.410
出血量(ml)	30.39±4.07	31.36±6.98	0.790
排气时间(d)	1.52±0.87	2.63±0.59	0.013
住院时间(d)	15.82±8.61	18.23±11.34	0.430
术后2年内复发(例)	1	6	0.001

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