83例女性肠梗阻临床分析

目的 分析肠梗阻原因，探讨妇产科手术与肠梗阻间的关系。方法 回顾分析1994年～2003年83例女性肠梗阻患者的梗阻原因、类型、梗阻处理方法以及再次手术时盆腔情况。结果 83例肠梗阻患者中24例(28．9％)有妇产科手术史，其中子宫全切术后15例，剖宫产术后4例。在小肠梗阻中42．6％有妇产科手术史，肠梗阻发生与妇产科手术的间隔时间平均6．7年。结论 手术后粘连是小肠梗阻的常见原因，手术后粘连性肠梗阻多见于子宫全切术后；肠梗阻可以发生在妇产科手术后较长时间段内。

The clinical analysis of 83 bowel obstruction

Objective To explore the possible relationship between bowel obstruction and gynecologic operations.Methods Eighty-three female patients with bowel obstruction from 1994 to 2003 were reviewed.The cause of intestinal obstruction,the previous operations,and management of bowel obstruction were analyzed retrospectively.Results Twenty-four out of the 83(28 9%)women had undergone a previous gynecologic or obstetrical operation,15 with abdominal hysterectomy and 4 with cesarean delivery.Among 47 women with small-bowel obstruction,20(42 6%)had history of gynecologic operations.The median interval between the initial operation and the bowel obstruction was 6 7 years.Conclusions The common cause of bowel obstruction is postsurgical adhesions.Hysterectomy is one of the most common causes of intestinal obstruction.Bowel obstruction can occur many years after the previous gynecologic operation.