泛影葡胺在腹部手术后早期肠梗阻诊治中的应用效果

Application effect of gastrografin in the diagnosis and treatment of early postoperative intestinal obstruction after abdominal surgery

目的研究泛影葡胺在腹部手术后早期肠梗阻中的诊断价值,为需要手术干预肠梗阻手术时机的确定提供指导。方法对商洛市中心医院2015年10月至2017年10月收治的128例腹部手术后早期肠梗阻患者的临床资料进行回顾性分析,所有患者均采用泛影葡胺进行诊断,并根据诊断结果分析手术时机把握情况。结果98例应用泛影葡胺后经4~6h全程通过小肠显影,经过治疗后痊愈,无中转手术;14例应用泛影葡胺后历经12h缓慢通过回盲部,未发生小肠梗阻,经过治疗后痊愈;16例应用泛影葡胺后历经12~24h未见通过回盲部,需二次应用泛影葡胺,再观察6~12h后未见明显改善,为手术时机的选择提供了依据。结论泛影葡胺可对腹部手术后肠梗阻进行诊断性治疗,且对确定手术时机有很好的指导作用。

Objective To study the diagnostic value of gastrografin in the diagnosis of early postoperative intestinal obstruction after abdominal surgery, and provide guidance for surgical intervention to determine the operation timing of intestinal obstruction. Methods The clinical data of 128 patients with early postoperative intestinal obstruction after abdominal surgery who admitted in Shangluo Central Hospital from October 2015 to October 2017 were retrospectively analyzed. All the patients were diagnosed with gastrografin, and the operation timing was analyzed according to the diagnosis results. Results Ninety-eight patients applied gastrografin developed through the small intestine for 4-6 h. After treatment,98 cases were cured, with no transferred operation. Fourteen patients applied gastrografin slowly developed through the ileocecus for 12 h, with no small intestine obstruction, which were cured after treatment. Sixteen patients applied gastrografin didn’t develop through the ileocecus for 12-24 h, which needed secondary application of pan-shadow-amines. There was no obvious improvement after 6-12 h observation, which provided the basis for the choice of operation timing. Conclusion Gastrografin can be used for the diagnosis and treatment of intestinal obstruction after abdominal surgery, and it is a good guide for determining the operation timing.