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目的探讨经鼻肠梗阻导管治疗小肠梗阻的临床应用效果及普及价值。方法选择我院收治的55例小肠梗阻患者的病例资料进行回顾性分析,均经鼻置入肠梗阻导管,对梗阻部位发挥支撑、扩张作用,最终缓解和解除肠梗阻。结果置管过程耗时约10~50min,平均30min。导管到十二指肠升部或其远端,到达率100%;梗阻部分缓解3~5h,完全缓解5~72h,有效率100%;无并发症;45例粘连性梗阻全部缓解;其它10例外科手术成功解除梗阻。结论经鼻肠梗阻导管治疗和缓解小肠梗阻操作简单,效果显著,值得临床推广普及应用。
Objective To investigate the clinical effect and universal value of nasal intestinal obstruction in the treatment of small bowel obstruction. Methods A total of 55 patients with small bowel obstruction admitted to our hospital were retrospectively analyzed. Nasal obstruction was placed in the nasal cavity by nasal tube to support and expand the obstructive site. Finally, the intestinal obstruction was relieved and relieved. Results The catheterization process took about 10 ~ 50min, an average of 30min. Catheter to the duodenal ascending or distal end, the arrival rate of 100%; obstruction partially eased 3 ~ 5h, complete remission 5 ~ 72h, the efficiency of 100%; no complications; 45 cases of obstruction of adhesion relief; the other 10 Surgery successfully relieved the obstruction. Conclusions Transbronchial catheterization and relieve small bowel obstruction is simple and effective, which is worth popularizing and clinical application.