肠梗阻导管在防治肠梗阻中的临床应用专家共识
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国家自然科学基金资助项目(82172833,82303255)。


Expert consensus on clinical application of ileus tubes in prevention and treatment of bowel obstruction
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    摘要:

    肠梗阻是普通外科最常见且最棘手的急腹症之一,其防治一直是临床工作中的重点与难点。肠梗阻导管的出现为肠梗阻的治疗、预防及辅助诊断提供了新方法,不仅显著提高了非手术治疗的成功率,还在预防肠梗阻复发和辅助诊断方面发挥了重要作用。近年来,随着肠梗阻导管的广泛应用,越来越多的医院开始采用该治疗方法,但在肠梗阻导管的适应证、并发症防治、疗效评估及外科干预时机等方面,仍存在较大争议。鉴于肠梗阻导管的规范化应用仍缺乏权威参考标准,且国内外尚无相关指南或共识对其临床实践进行规范,在中国医师协会肛肠医师分会和湖南省老年医学学会肠梗阻分会的倡议下,国内该领域专家共同组建编审专家组。专家组基于最新的循证医学证据,广泛参考国内外研究的核心成果和结论,制定了《肠梗阻导管在防治肠梗阻中的临床应用专家共识》。该共识旨在为普通外科、消化内科、介入科及相关专业的医师提供权威指导和参考,推动我国肠梗阻导管的规范化临床应用。

    Abstract:

    Intestinal obstruction is one of the most common and challenging acute abdominal conditions in general surgery, and its prevention and treatment have always been a key focus in clinical practice. The advent of ileus tubes has provided a new approach to the treatment, prevention, and auxiliary diagnosis of intestinal obstruction. It has significantly improved the success rate of non-surgical treatment and played an essential role in preventing recurrence and assisting in diagnosis. In recent years, with the widespread application of the ileus tubes, an increasing number of hospitals have begun using this treatment method. However, there are still considerable controversies regarding to the indications of ileus fubes, management of complications, efficacy evaluation, and the timing of surgical intervention. Given the lack of authoritative reference standards for the standardized use of ileus tubes and the absence of relevant guidelines or consensus to guide their clinical practice at home and abroad, experts in this field in our country have formed an editorial panel at the initiative of the Anorectal Physicians Branch of the Chinese Medical Doctor Association, and the Bowel Obstruction Branch of the Hunan Province Geriatric Society. Based on the latest evidence from clinical practice and relevant research findings, the expert panel developed the "Expert consensus on clinical application of ileus tubes in prevention and treatment of bowel obstruction." This consensus aims to provide guidance for physicians in general surgery, gastroenterology, interventional medicine, and related specialties, hoping to promote the standardized clinical application of ileus tubes in China.

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中国医师协会肛肠医师分会,湖南省老年医学学会肠梗阻分会.肠梗阻导管在防治肠梗阻中的临床应用专家共识[J].中国普通外科杂志,,():183-194.
DOI:10.7659/j. issn.1005-6947.240661

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  • 收稿日期:2024-12-19
  • 最后修改日期:2024-12-19
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  • 在线发布日期: 2025-02-11