非手术肠排列治疗粘连性小肠部分梗阻的临床观察

对16例反复粘连性小肠梗阻的患者,在X线监视下将300 cm长的肠梗阻导管经鼻置入至空肠上段10cm以远处,边抽吸减压边随肠蠕动前行,达回肠末端行全小肠减压,保留导管13～25 d作为肠内支架起到小肠内置管支撑排列作用.15例治疗1次,1例治疗2次,随访8个月～2年未再出现梗阻.非手术小肠内置管支撑排列治疗粘连性小肠部分梗阻简便、安全、有效,可以多次重复置管.

Non-surgical Intestinal intubation plication for partial adhesive small-bowel obstruction

A 300 cm-long ileus tube was inserted from nasal cavity to the jejunum under the radiophotography guidance in 16 patients with recurrent adhesive small-bowel obstruction. Along with entire intestinal decompression, the ileus tube was moved forward to the terminal ileum and remained for 13 to 25 days for internal intubation plication. All the participants improved during the follow-up (range, 8 months to 2 years), and no intestinal adhesion or obstruction occurred. Non-surgical intestinal intubation plication might be a simple, safe and effective treatment for adhesive intestinal obstruction.