术后粘连性肠梗阻89例临床分析

目的 探讨术后肠梗阻的特点和诊断、治疗原则.方法 对我院1999年1月至2005年12月收治的89例术后肠梗阻患者的临床资料进行回顾分析.结果 89例患者均治愈,未发生肠外瘘等严重并发症,无死亡.手术治疗13例中2例发生术后早期炎性肠梗阻.结论 腹腔术后可出现肠梗阻,诊断主要依靠病史、体征及腹部X线、CT检查.治疗方法的选择及手术时机的掌握是提高治疗效果的关键.术后早期炎性肠梗阻应采用保守治疗,肠绞窄或有肠绞窄趋势应及时手术、反复发作的粘连性肠梗阻应积极手术.

Postoperative intestinal obstruction:a clinical analysis of 89 cases

Objective To investigate the principles of diagnosis and treatment of postoperative intestinal obstruction. Methods The clinical datas of 89 cases of postoperative intestinal obstruction treated from 2001 to 2005 were analyzed retrospectively. Results All the 89 cases were cured without severe complications such as intestinal fistula and no death. The early postoperative inflammatory intestinal obstruction occurred in 2 cases. Recurrent intestinal obstruction occurred in 2 cases. Conclusions Intestinal obstruction can be caused by operation in abdomen. The diagnosis depends on the medical history,clinical manifestations,abdominal plain X-ray and computed tomography. Therapeutic procedure and operative opportunity play an important role in the treatment of postoperative intestinal obstruction. Non-operative approach should be the first choice for early postoperative inflammatory intestinal obstruction. Prompt surgery is clearly indicated and valuable for acute or being strangulative obstruction. Active operative treatment should be considered in recurrent chronic intestinal obstruction.