复杂粘连性肠梗阻36例治疗体会

目的：观察逆行性小肠内置管排列手术治疗复杂性粘连性肠梗阻的临床效果。方法：回顾性分析2004年5月至2009年4月间我院收治的36例复杂性粘连性肠梗阻患者行小肠内置管排列手术的临床资料。结果：术后随访1-5年,早期并发症为切口感染,腹腔脓肿,肺部感染等,其中2例患者死亡;随访中1例患者因复发行再次手术,手术治愈率91.7%。结论：采用逆行性小肠内置管排列手术是治疗复杂粘连性肠梗阻的有效方法。

Intestinal Intubation Plication in Treating 36 Cases Complex Adhesive Ileus

Objective： To evaluate the clinical effect of intestinal intubation plication（IIP） in treating complex adhesive intestinal obstruction.Method： The clinical data of 36 patients with complex adhesive intestinal obstruction who received IIP between 2004.5-2009.4 were analyzed retrospectively.Result：The fellow-up time was 1-5 years.The early complications included wound infection,intraabdominal abscess,pneumonia.2 patients were dead because of serious infection.1 recurrent intestinal obstruction occurred and the patient received operation again.The cure rate was 91.7%.Conclusion： Intestinal intubation plication was an effective operative treatment for complex adhesive intestinal obstruction.