肠梗阻536例的病因分析及治疗

目的：探讨肠梗阻的病因及治疗措施。方法：回顾性分析我院普外科2002年1月1日至2005年12月31日536例肠梗阻病例的诊治经过。结果：粘连、肿瘤、疝分列肠梗阻病因的前三位，分别占65．11％、20．89％、6．53％。施行手术的239例中，术后产生并发症29例，死亡23例，病死率为4．29％。结论：粘连和肿瘤是引起肠梗阻最主要的原因。早期诊断、积极合理的治疗能够有效降低病死率，并提高疗效、改善患者生活质量。

Etiologic Analysis and Treatment of 536 Cases of Intestinal Obstruction

Objective:To investigate the etiology and treatment of intestinal obstruction.Methods:The clinical data of 536 cases of intestinal obstruction were analyzed from Jan.1,2002 to Dec.31,2005 in Tianjin Nankai Hospital.Results:Adhesion,neoplasm and hernia were the most common causes,accounted for 65.11%,20.89% and 6.53% respectively.Among 536 cases,239 patients underwent operation and complications occurred in 29 cases.Twenty-three cases died with the mortality rate of 4.29%.Conclusion:Adhesion and neoplasm were the most common causes of intestinal obstruction.Early diagnosis and appropriate therapy could satisfactorily reduce the morbidity and mortality,enhancing the cuerative effect and quality of patient's life.