口服泛影葡胺胃肠造影在判断单纯性机械性小肠梗阻手术时机中的应用

Application of oral Gastrografin in gastroenterograpby in judgment of the opportunity of operation in simple mechanical small bowel obstruction

目的探讨口服泛影葡胺胃肠造影在判断单纯性机械性小肠梗阻（MSBO）手术时机中的作用。方法回顾分析2009年1月至2010年12月行口服泛影葡胺胃肠造影的单纯性MSBO病例，造影结果阳性者行手术治疗，阴性者行非手术治疗。结果共117例行口服泛影葡胺造影的单纯性MSBO病例，其中粘连63．2％、肿瘤12．0％、胃石13．7％、内疝（无手术史）3．4％、原因不明7．7％，造影阳性46例，阴性71例，泛影葡胺胃肠造影用于判断单纯性MSBO手术的特异性和敏感性分别为100％和97．3％。结论口服泛影葡胺胃肠造影可以较为准确判断单纯性MSBO是否需要手术治疗，特别是区分不需要手术治疗的病例。

Objective To investigate the effect of oral gastrografin on gastroenterography in judg- ment of the opportunity of operation in simple mechanical small bowel obstruction（MSBO）. Methods A retrospective review was conducted in patients with simple MSBO who received oral Gastrografin in gastro- enterography from January 2009 to December 2010. If the outcome of gastroenterography was positive, the patients accepted operation, otherwise, nonoperative treatment was carried out. Results There were 117 patients with simple MSBO overall. The cause of MSBO included adhesions （63. 2% ）, neoplasms （ 12.0% ） ,bezoar（ 13.7% ） ,internal hernia without history of abdominal operation（ 3.4% ）, and etiology unknown（7.7% ）. The outcome of gastroenterography was positive in 46 patients and negative in 71 pa- tients. Specificity and sensitivity of oral Gastrografin in gastroenterography in judgment of operation oppor- tunity was 100% and 97.3% ,respectively. Conclusion Oral Gastrografin in gastroenterography is effec- tive in judgment of the opportunity of operation in simple MSBO, especially in predicting the need for nono- perative treatment.