关键词: 肠排列术, 肠梗阻导管, 手术, 急性小肠梗阻

Abstract:

Comparative study of internal intestinal splinting with long nasointestinal tube vs traditional ileus surgery                  LIU Zhi-gang, SHANG Dong, BI Wei, et al. Third Department of General Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Corresponding author: SHANG Dong, E-mail: shangdong@medmail.com.cn
Abstract    Objective    To evaluate the application value of internal intestinal splinting with long nasointestinal tube in management acute small bowel obstruction.  Methods    The clinical data of 129 cases of mechanical small bowel obstruction performed operation and followed up between April 2005 and December 2010 in the Third Department of General Surgery, the First Affiliated Hospital of Dalian Medical University were analyzed retrospectively. There were 41 cases in treatment group (internal intestinal splinting with long nasointestinal tube) and 88 cases in control group (traditional ileus surgery). Results    There was no significant difference in the postoperative exhaust time or defecation time, the rate of postoperative complications and the postoperative mortality between the two groups (P>0.05). The postoperative recurrence rate of 5-years was 5.0% (2/40) in the treatment group, which was obviously less than the 18.8% (16/85) in the control group (P<0.05). And the recurrence time in the treatment group was (42.5±7.8) months, which was obviously less than (20.3±11.8) months in the control group (P<0.05).  Conclusion    The treatment of internal intestinal splinting with long nasointestinal tube has a good control effect on recurrence of acute small bowel obstruction.

Key words: internal intestinal splinting；long nasointestinal tube；operation, acute small bowel obstruction