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目的初步评价经肛型肠梗阻减压导管在急性低位结直肠梗阻中的应用价值。方法2004年11月至2005年12月,11例急性完全性机械性低位结直肠梗阻患者行肠梗阻导管置入术,冲洗引流7 d 后手术。结果 11例患者9例成功,2例失败,其中1例系导丝无法通过狭窄部、另1例是肿块位于横结肠中部。成功9例患者的腹围由术前的(91±4)cm,减小到(82±2)cm;导管内每天引流量-600～3 200 ml 不等,术后7 d 腹部平片较术前明显好转。结论肠梗阻减压导管治疗急性低位结直肠梗阻是有效的,安全的,有望成为治疗急性低位结直肠梗阻的首选措施。
Objective To evaluate the value of transanal intestinal obstruction decompression catheter in acute low colorectal obstruction. Methods From November 2004 to December 2005, 11 patients with acute complete mechanical low colorectal obstruction underwent ileus catheterization and were operated on 7 days after irrigation and drainage. Results Of the 11 patients, 9 were successful and 2 failed. One of the guide wires failed to pass through the stenosis and the other was the mass located in the middle of the transverse colon. The successful abdominal circumference of the 9 patients decreased from (91 ± 4) cm to (82 ± 2) cm preoperatively. The drainage volume per day in the catheter ranged from -600 to 3 200 ml. On the 7th day after operation, Preoperative significantly improved. Conclusion Intestinal obstruction decompression catheter for the treatment of acute low colorectal obstruction is effective and safe and is expected to become the first choice for the treatment of acute low colorectal obstruction.