NOSES金陵术治疗顽固性便秘疗效观察附八例报道

Eight cases report of NOSES Jinling procedure in the treatment of refractory constipation

目的评价NOSES金陵术治疗顽固性便秘的短期疗效。方法回顾性分析了江苏省苏北人民医院胃肠外科于2016年7月至2018年5月实施的8例手术患者资料。记录术中一般情况及术后评价指标。结果 8例患者平均手术时间(265.63±36.09)min,术中出血(40±15.81)mL。无围手术期死亡病例,首次肛门排气时间(61.75±12.13)h,首次离床活动时间(50.38±12.39)h,首次进食时间(61.13±12.24)h,首次排便时间(77.5±12.69)h,术后腹腔感染1例。结论 NOSES金陵治疗顽固性便秘短期疗效肯定、创伤小,能明显降低手术切口给患者带来的心理应激,值得进一步推广。

Objective To evaluate the short-term efficacy of NOSES Jinling surgery in the treatment of intractable constipation. Methods Retrospective analysis of 8 surgical patients performed NOSES Jinling surgery in Jiangsu Subei People′s Hospital from July 2016 to May 2018. The general conditions and postoperative evaluation indexes were recorded. Results General conditions: mean operative time(265.63±36.09) min, intraoperative bleeding(40±15.81) mL. NOSES evaluation index: no deaths during perioperative period,?rst anal exhaust time(61.75±12.13) h,?rst time of bedtime(50.38±12.39) h,first feeding time(61.13±12.24) h, first defecation time(77.50±12.69) h, postoperative complications(1 case of abdominal infection). Conclution The short-term curative effect of NOSES Jinling surgery in the treatment of intractable constipation is af?rmative, and the trauma is small, which can signi?cantly reduce the psychological stress brought by the surgical incision, which is worth further promotion.