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经肛肠梗阻导管加肠内营养在急性左半结肠恶性梗阻性疾病的临床研究
引用本文:谢志荣,蒋邦好,王军,蔡育志,唐兴奎,何嘉琳. 经肛肠梗阻导管加肠内营养在急性左半结肠恶性梗阻性疾病的临床研究[J]. 结直肠肛门外科, 2009, 15(3): 169-171
作者姓名:谢志荣  蒋邦好  王军  蔡育志  唐兴奎  何嘉琳
作者单位:1. 广州市番禺区人民医院普外科,511400
2. 广州市番禺区市桥医院普外科
摘    要:目的探讨肠梗阻导管加肠内营养在急性左半结肠恶性梗阻性疾病治疗中的作用。方法2006年6月至2008年6月,选择17例肠梗阻患者,按入院时间分为对照组(8例)和导管组(9例)。对照组给予常规治疗方案,导管组在此基础上应用肠梗阻导管和肠内营养治疗。结果经3~5d肠梗阻导管减压和肠内营养支持治疗,8例急性肠梗阻症状均缓解,均可限期行腹腔镜一期切除和吻合,术后随访1~9个月,中位数7个月,未见吻合口漏等并发症。结论经肛门肠梗阻导管和肠内营养用于治疗急性左半结肠恶性梗阻安全有效,同时可减少肠造口和二期手术的风险。

关 键 词:肠梗阻导管  肠梗阻  肠内营养  恶性

Management of left-sided acute malignant colonic obstruction by transanal ileus tube decompression and enteral nutrition
Xie Zhirong,Jiang Banghao,Wang Jun,et al.. Management of left-sided acute malignant colonic obstruction by transanal ileus tube decompression and enteral nutrition[J]. Journal of Colorectal & Anal Surgery, 2009, 15(3): 169-171
Authors:Xie Zhirong  Jiang Banghao  Wang Jun  et al.
Affiliation:Xie Zhirong,Jiang Banghao,Wang Jun,et al.Department of General Surgery,Hospital of Panyu district,GuangZhou 511400,China
Abstract:Objective To investigate the effects of transanal ileus tube decompression and enteral nutrition in the treatment of left-sided acute malignant colonic obstruction.Methods Seventeen cases of left-sided acute malignant colonic obstruction were divided into control group(n=9) and treatment group(n=8).Patients in the control group were treated with routine medical therapy,and patients in the treatment group received transanal ileus tube for decompression in addition to similar therapy in control group.Results ...
Keywords:ileus tube  Instestinal obstruction  Malignant  Enteral nutrition  
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