【摘要】 目的探讨经胃镜置管行残胃、输出袢同时减压治疗毕Ⅱ式胃手术后肠梗阻的疗效。方法毕Ⅱ式胃手术后肠梗阻患者60例,随机分为两组:治疗组采用胃镜置入导管行残胃、输出袢同时减压,对照组采用经鼻胃管减压。比较腹胀改善程度、胃肠减压量、气液平面消失时间、肠鸣音恢复时间。结果治疗组腹胀改善程度、胃肠减压量、气液平面消失时间、肠鸣音恢复时间显著优于对照组(P<0.05)。结论经胃镜置管行残胃、输出袢同时减压治疗毕Ⅱ式胃手术后肠梗阻效果优于鼻胃管行胃肠减压。更多还原

【Abstract】 Aim To evaluate the decompression effect on postoperative intestinal obstruction after Billroth Ⅱ procedure by placing intestinal tube into gastricremnant and efferent loop through gastroscopy.Methods Sixty patients with postoperative intestinal obstruction after Billroth Ⅱ procedure were divided randomly into two groups:the treatment group,in whom the tube was simultaneously placed into gastricremnant and efferent loop through gastroscope for decompression;and the control group,in whom gastric tube was conventionally placed.Abdominal distension,volume of gastrointestinal decompression,disappearing time of liquid and gas,the time of borborygmus recovery were recorded and compared.Results Significant differences were found on abdominal distension,volume of gastrointestinal decompression,disappearing time of liquid and gas,and the time of borborygmus recovery in favor of treatment group(P<0.05).Conclusion Placing intestinal tube by gastroscopy into gastricremnant and efferent loop could effectively decompress intestinal obstruction after Billroth Ⅱ procedure.更多还原