Parameter predicting the recurrence of adhesive small bowel obstruction in patients managed with a long tube
Parameter predicting the recurrence of adhesive small bowel obstruction in patients managed with a long tube
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DOI：
10.1007/s00268-006-0158-6
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发表时间：
2007-01-01
影响因子：
2.6
通讯作者：
Nakao, Akimasa
中科院分区：
文献类型：
--
作者：
Sakakibara, Takumi;Harada, Akio;Nakao, Akimasa
我们的一些患者在非手术治疗的情况下复发了粘连性小肠梗阻（ASBO）。本研究的目的是评估预测长管患者ASBO复发的参数。方法：对1998年4月至2002年9月收治的234例ASBO患者进行回顾性临床研究，其中91例经长管置入非手术治疗后康复。我们将患者分为两组进行随访：复发组和无复发组。我们比较两组患者的基线特征、既往ASBO入院次数、腹部手术次数、出现症状到插入长管的间隔时间、放置长管的持续时间、通过长管的对比肠的类型、长管尖端的位置以及通过长管的引流量。然后我们检查了累积复发率。结果：在ASBO入院人数、长管放置时间（77小时对43小时）、通过长管的对比肠以及长管尖端的位置方面，两组存在显著差异。多因素分析表明，长管放置时间是预测ASBO复发的独立参数。结论：这些结果表明，长管放置时间可以作为预测长管患者ASBO复发的一个参数。
Introduction: Some of our patients showed a recurrence of adhesive small bowel obstruction (ASBO) with nonoperative management. The aim of this study was to evaluate the parameters predicting the recurrence of ASBO in patients managed with a long tube.Methods: Of 234 patients with ASBO admitted from April 1998 to September 2002, a total of 91 who recovered with nonoperative management after long tube placement were enrolled in this retrospective clinical study. We divided them into two groups for follow-up: the recurrence group and the no-recurrence group. We compared baseline characteristics, the number of previous ASBO admissions, the number of abdominal operations, the interval from the onset of symptoms to long-tube insertion, the duration of long-tube placement, the type of the contrasted intestine through the long tube, the location of the long-tube tip, and the drainage volume through the long tube between the two groups. We then examined the cumulative recurrence rate.Results: A significant difference was found in the number of previous ASBO admissions, the duration of long-tube placement (77 hours vs. 43 hours), the contrasted intestine through the long tube, and the location of the long-tube tip. By multivariate analysis, the duration of long-tube placement was an independent parameter predicting the recurrence of ASBO.Conclusions: These results suggest that the duration of long-tube placement might serve as a parameter for predicting recurrence of ASBO in patients managed with a long tube.