泛影葡胺消化道造影在粘连性肠梗阻中的应用

Application of meglumine diatrizoate digestive tract radiography in adhesive intestinal obstruction

目的探讨泛影葡胺消化道造影在粘连性肠梗阻中的诊断及治疗价值。方法 62例粘连性肠梗阻患者应用76%泛影葡胺60∽100 ml行消化道造影,动态观察造影剂在胃肠道中的位置及通过情况,以确定梗阻部位及手术时机。结果 53例患者造影剂在6~24 h后到达结肠而给予保守治疗,平均症状缓解时间12.5 h,9例患者症状体征加重、造影剂不能到达结肠且行手术治疗,全部患者均痊愈出院。结论粘连性肠梗阻患者应用泛影葡胺消化道造影检查可以明确梗阻部位以及对选择手术时机,具有很好的指导作用,同时可作为治疗粘连性肠梗阻的一种重要手段,值得临床推广应用。

Objective To investigate the value in diagnosis and treatment of meglumine diatrizoate digestive tract radiography in adhesive intestinal obstruction. Methods A total of 62 patients with adhesive intestinal obstruction underwent digestive tract radiography by 60∽100 ml of 76% meglumine diatrizoate. Through dynamic observation of the location and pass condition of contrast medium in gastrointestinal tract, the obstruction position and operation opportunity were determined. Results There were 53 cases receiving conservative treatment with the contrast medium reaching colon in 6~24 h, and their average symptom relieving time was 12.5 h. The other 9 cases underwent surgery for treatment, due to their exacerbated symptoms and signs, while the contrast medium did not reach colon. All cases were cured and left the hospital. Conclusion The application of meglumine diatrizoate digestive tract radiography for adhesive intestinal obstruction patients can clarify the obstruction position, and provide good guide for choosing operation opportunity. It is also an important measure for treating adhesive intestinal obstruction, and it is worthy of clinical promotion and application.