AIM:To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS:Seventy-eight patients with small bowel obstruction ...AIM:To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS:Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups.Intubation of a long tube was guided by fluoroscopy in one group and by endoscopy in the other.The duration of the procedure and the success rate for each group were evaluated.RESULTS:A statistically significant difference in the mean duration of the procedure was found between the fluoroscopic group(32.6±14.6 min)and the endoscopic group(16.5±7.8 min)among the cases classified as successful(P<0.05).The success rate was significantly different between the groups:88.6%in the fluoroscopic group and 100%in the endoscopic group(P <0.05).CONCLUSION:For patients with adhesive small bowel obstruction,long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.展开更多
Road transport safety has always been paid attention to by the safety production managers of enterprises. In this study, cloud model and analytic hierarchy process were applied to the safety of long-tube trailer trans...Road transport safety has always been paid attention to by the safety production managers of enterprises. In this study, cloud model and analytic hierarchy process were applied to the safety of long-tube trailer transport. The opinions of 30 experts were analyzed, from which 29 key parameters were selected. The study addressed the relevance of the parameters and the possibility of automatic collection and transmission to obtain 12 core risk factors. The macro-safety risk indicator system for long-tube trailers was established based on the identified risk indicators. Finally, a risk assessment model for road transport of long tube trailers consisting of 3 dimensions of likelihood, severity and sensitivity was constructed. This model provides a technical method for strengthening the risk control of road transport of long-tube trailers.展开更多
目的探讨肠梗阻导管联合泛影葡胺对腹部术后急性粘连性小肠梗阻的治疗效果。方法收集2013年9月至2016年9月206例急性粘连性小肠梗阻患者的临床资料,根据治疗方法不同分为5组。(1)胃管组(55例):为传统的经鼻胃管减压治疗;(2)胃管+泛影葡...目的探讨肠梗阻导管联合泛影葡胺对腹部术后急性粘连性小肠梗阻的治疗效果。方法收集2013年9月至2016年9月206例急性粘连性小肠梗阻患者的临床资料,根据治疗方法不同分为5组。(1)胃管组(55例):为传统的经鼻胃管减压治疗;(2)胃管+泛影葡胺组(60例):为传统经鼻胃肠减压联合泛影葡胺治疗;(3)导管组(38例):应用经鼻型肠梗阻导管治疗;(4)泛影葡胺组(23例):为单纯口服泛影葡胺治疗。(5)导管+泛影葡胺组(30例):应用经鼻型肠梗阻导管联合泛影葡胺治疗。应用泛影葡胺组,口服或经鼻胃管以及肠梗阻导管注入60~100 m L 76%的泛影葡胺注射液,注药后夹管2 h,观察临床症状,并结合腹部X线摄片、螺旋CT动态观察梗阻加重和缓解情况。比较5组的腹部疼痛缓解时间、给予治疗后首次排便时间、住院时间以及治疗有效率。结果所有患者均按要求置管成功。经鼻型肠梗阻导管联合泛影葡胺组患者腹痛缓解时间、首次排便时间、住院时间及有效率等情况明显优于传统鼻胃管、传统鼻胃管联合泛影葡胺、单纯泛影葡胺以及单纯肠梗阻导管组(P<0.05)。结论肠梗阻导管联合泛影葡胺可成为治疗急性肠梗阻的新手段、新方法,值得临床推广。展开更多
Objective To investigate the placement of a long tube into the small intestine under fluoroscopic guidance and to evaluate its decompression effect on early postoperative small bowel obstruction(EPSBO).Methods Fifty-f...Objective To investigate the placement of a long tube into the small intestine under fluoroscopic guidance and to evaluate its decompression effect on early postoperative small bowel obstruction(EPSBO).Methods Fifty-four patients with EPSBO requiring decompression between April 2010 and July 2014 were enrolled in the study.Insertion of a long tube was guided by fluoroscopy.We first used the guide wire to pass the pylorus and then used the 10 Fr feeding tube as an exchangeable tube to put the superstiff wire into the duodenum.Finally the long tube could be passed over the guide wire through the pylorus into the intestine.The total procedure time,the radiation exposure time,and the incidence of complications were evaluated.Results The long tubes passed into the jejunum on initial insertion for all patients,so the success rate of this technique was 100%.The long tube was inserted into ileum in 18 patients.The mean total procedure time was 34.4±8.6 minutes,and the mean radiation exposure time 18.9±6.8 minutes.A total of 47 patients(87%) experienced full recovery following long-tube decompression and without the need for surgical intervention.Conclusions Using the wire-exchange technique,it is easy to place a long tube into the small bowel under fluoroscopic guidance.This decompression method is safe and effective for management of EPSBO.展开更多
文摘AIM:To investigate and compare the decompression effect on small bowel obstruction of a long tube inserted using either endoscopic or fluoroscopic placement.METHODS:Seventy-eight patients with small bowel obstruction requiring decompression were enrolled in the study and divided into two groups.Intubation of a long tube was guided by fluoroscopy in one group and by endoscopy in the other.The duration of the procedure and the success rate for each group were evaluated.RESULTS:A statistically significant difference in the mean duration of the procedure was found between the fluoroscopic group(32.6±14.6 min)and the endoscopic group(16.5±7.8 min)among the cases classified as successful(P<0.05).The success rate was significantly different between the groups:88.6%in the fluoroscopic group and 100%in the endoscopic group(P <0.05).CONCLUSION:For patients with adhesive small bowel obstruction,long-tube decompression is recommended and long-tube insertion by endoscopy was superior to fluoroscopic placement.
文摘Road transport safety has always been paid attention to by the safety production managers of enterprises. In this study, cloud model and analytic hierarchy process were applied to the safety of long-tube trailer transport. The opinions of 30 experts were analyzed, from which 29 key parameters were selected. The study addressed the relevance of the parameters and the possibility of automatic collection and transmission to obtain 12 core risk factors. The macro-safety risk indicator system for long-tube trailers was established based on the identified risk indicators. Finally, a risk assessment model for road transport of long tube trailers consisting of 3 dimensions of likelihood, severity and sensitivity was constructed. This model provides a technical method for strengthening the risk control of road transport of long-tube trailers.
文摘目的探讨肠梗阻导管联合泛影葡胺对腹部术后急性粘连性小肠梗阻的治疗效果。方法收集2013年9月至2016年9月206例急性粘连性小肠梗阻患者的临床资料,根据治疗方法不同分为5组。(1)胃管组(55例):为传统的经鼻胃管减压治疗;(2)胃管+泛影葡胺组(60例):为传统经鼻胃肠减压联合泛影葡胺治疗;(3)导管组(38例):应用经鼻型肠梗阻导管治疗;(4)泛影葡胺组(23例):为单纯口服泛影葡胺治疗。(5)导管+泛影葡胺组(30例):应用经鼻型肠梗阻导管联合泛影葡胺治疗。应用泛影葡胺组,口服或经鼻胃管以及肠梗阻导管注入60~100 m L 76%的泛影葡胺注射液,注药后夹管2 h,观察临床症状,并结合腹部X线摄片、螺旋CT动态观察梗阻加重和缓解情况。比较5组的腹部疼痛缓解时间、给予治疗后首次排便时间、住院时间以及治疗有效率。结果所有患者均按要求置管成功。经鼻型肠梗阻导管联合泛影葡胺组患者腹痛缓解时间、首次排便时间、住院时间及有效率等情况明显优于传统鼻胃管、传统鼻胃管联合泛影葡胺、单纯泛影葡胺以及单纯肠梗阻导管组(P<0.05)。结论肠梗阻导管联合泛影葡胺可成为治疗急性肠梗阻的新手段、新方法,值得临床推广。
文摘Objective To investigate the placement of a long tube into the small intestine under fluoroscopic guidance and to evaluate its decompression effect on early postoperative small bowel obstruction(EPSBO).Methods Fifty-four patients with EPSBO requiring decompression between April 2010 and July 2014 were enrolled in the study.Insertion of a long tube was guided by fluoroscopy.We first used the guide wire to pass the pylorus and then used the 10 Fr feeding tube as an exchangeable tube to put the superstiff wire into the duodenum.Finally the long tube could be passed over the guide wire through the pylorus into the intestine.The total procedure time,the radiation exposure time,and the incidence of complications were evaluated.Results The long tubes passed into the jejunum on initial insertion for all patients,so the success rate of this technique was 100%.The long tube was inserted into ileum in 18 patients.The mean total procedure time was 34.4±8.6 minutes,and the mean radiation exposure time 18.9±6.8 minutes.A total of 47 patients(87%) experienced full recovery following long-tube decompression and without the need for surgical intervention.Conclusions Using the wire-exchange technique,it is easy to place a long tube into the small bowel under fluoroscopic guidance.This decompression method is safe and effective for management of EPSBO.
