经鼻肠梗阻导管治疗卵巢癌术后肠梗阻的临床疗效

Nasal Ileus Conduct Treat the Ileus after Ovarian Cancer Operation

[目的]探讨经鼻肠梗阻(intestinal obstruction,IO)导管置入术治疗卵巢癌术后IO的临床疗效。[方法]选取2012年4月至2013年8月在我院就诊并确诊为卵巢癌术后IO患者25例,分成治疗组10例,对照组15例。对照组行普通鼻胃管置入,治疗组行经鼻IO导管置入术,观察术后并发症的发生和临床疗效。[结果]对照组术后并发症情况,8例出现电解质紊乱,并发症发生率为53.33%;临床症状部分缓解,部分X线检查IO征象未消失或局部减少,临床疗效治愈5例,显效3例,有效3例,无效4例,总有效率73.33%。治疗组患者均置管成功并成功实施减压引流,置管后未发生严重的不良反应,IO症状得到了有效的缓解,1例中转手术。临床疗效治愈6例,显效3例,有效1例,无效0例,总有效率100%;置管后未发生严重的并发症,其中2例出现电解质紊乱,术后并发症的发生率20.00%。两组并发症的发生率、临床总有效率比较,差异均有统计学意义(P<0.05)。[结论]经鼻IO导管置入术治疗卵巢癌术后IO比鼻胃管治疗在改善患者梗阻症状、降低并发症的发生率方面,更显疗效。

[Objective] To discuss the clinical effect of nasal intestinal obstruction（IO） conduct catheterization on IO after ovarian cancer operation. [Method] Choose 25 cases of IO after ovarian cancer operation, randomly divide them into treatment group 10 cases and control one 15 cases. The control group take general nasogastric tube imbedding, the treatment group take nasal IO conduct catheterization;observe their post-operational complications and clinical cure effect. [Result] On complications in control group, 8 cases had electrolyte disturbance, with complication rate 53.33%, the part of clinical symptoms was re-lieved, the IO signs did not disappear or were reduced partly with X-ray;5 cases were cured clinical y, 3 had marked effect, 3 were effective, 4 had no effect, the total effective rate was 73.33%;for the treatment group, al cases were successful y imbedded and made decompression and drainage, there ’s no severe side effects after imbedding tube, the IO symptoms were effectively relieved;1 case was transferred to operation;6 cases were cured clinical y, 3 had marked effect, 1 was effective, 0 had no effect, the total effective rate was 100%;after cathetering, there ’s no severe complications, among which, 2 cases had electrolyte dis-turbance, the post-operation complication rate was 20%. The comparison of complication rate and clinical effective rate of both groups had difference of sta-tistical meaning. [Conclusion] Nasal IO conduct imbedding treating IO after ovarian cancer operation had more effect on relieving IO symptoms and reduc-ing complications than nasogastric tube.