DSA引导下放置三腔喂养管的初步临床应用

目的：评价DSA引导下三腔喂养管放置术的初步临床应用价值。方法：对10例消化道疾病术后吻合口漏或／和吻合口狭窄，或各种原因导致的胃排空障碍的患者在DSA引导下放置三腔喂养管。结果：在DSA引导下可将三腔喂养管放置至空肠屈氏韧带以远20cm，置管成功率90％，置管时间1-3周。三腔管位置良好、喂养过程顺利、胃肠减压效果良好、吻合口漏愈合快、胃排空障碍消失。结论：DSA引导下三腔喂养管放置法是一种操作简便、安全可靠、实用有效的空肠营养兼胃肠减压方法。

Preliminary Applicaton of Placing Freka R Trelumina guided by DSA

Objective To evaluate the initial clinical application value of placing the Freka R Trelumina guided DSA. Methods The Freka(R) Trelumina was placed guided by DSA in 10 patients with disease of digestive tract post operation complicated with stomal leak or/and stomal stegnosis or various kinds of patients with gastric emptying disorder. Results The Freka(R) Trelumina could be put 20 cm away from Treize anadesma guided by DSA. The achievement ratio was 90%. The putting time was 1 to 3 weeks. The localization of the Freka(R) Trelumina was well. The process of feeding was successfully. The effectiveness of decompression of stomach intestine was also good. Stomal leak healed up quickly. The appearance of gastric emptying disorder disappeared. Conclusion Placing the Freka(R) Trelumina guided by DSA is a simple, safe and reliable method for jejunum nourishment and gastrointestinal decompression.