肠梗阻100例临床分析

目的总结8年来肠梗阻的诊治经验。方法回顾性分析8年间收治的100例肠梗阻资料。结果病因明确90例(90%),其中机械性肠梗阻80例(88%)。原因不明10例(10%),非手术治疗60例,手术治疗40例,术后并发症3例(3%)。结论 8年间肠梗阻以粘连性肠梗阻、肿瘤性肠梗阻最常见。粘连性肠梗阻中82%为手术后所致,无手术史的肠梗阻主要以肿瘤、结核、或腹腔炎症所致。对手术后早期粘连性肠梗阻应以非手术治疗,中西医结合治疗为主。对于左半结肠癌引起的急性肠梗阻,在严格掌握手术适应证的情况下应采取积极的治疗方法 。

Clinical Analysis of 100 Cases of Intestinal Obstruction

Objectives To summarize our experience in the diagnosis and treatment of intestinal obstructio.Methods The etiological factors,diagnosis and treatment of patients with intestinal obstruction were analyzed retrospectivel.Results The causes were clear in 90 cases（90%）,unclear in 10（10%）cases,postoperative complications occurred in 3 cases.Conclusion Adhesive intestinal obstruction and intestional malignant tumors are the most common types of intestinal obstruction.Among the adhestinal cases（82%）were due to operation.Tumors and Tuberculous are the main causes of intestinal obstruction in patients without operation.We advocate that early adhesive intestinal obstruction should be treated non-operatively.For left sided colon carcinoma group cause Intesinal obstruction,we should use active treatment.