成人急性肠梗阻病因分析及手术时机探讨

目的分析成人急性肠梗阻发病原因及探讨手术时机。方法回顾分析我院1997年7月~2006年5月手术治疗的成人急性肠梗阻210例临床资料。结果粘连性肠梗阻占40.9%;肿瘤性肠梗阻占33.8%;嵌疝引起肠梗阻占14.8%。入院后72小时内手术131例,72小时后手术79例,术后出现并发症28例,死亡7例,病死率3.3%。结论粘连和肿瘤是成人急性肠梗阻最常见病因。加强术前诊断,选择合适的手术时机是降低并发症和病死率的关键。对可疑肿瘤患者,尽量采用非手术治疗,症状缓解后明确诊断再作根治性手术。

The etiology and the timing of operation analysis in adult acute intestinal obstruction

Objective To analyse the etiology and the timing of operation in adult acute intestinal obstruction. Methods 210 cases of adult acute intestinal obstruction patients that operated from July 1997 to May 2006 were investigated in our hospital. Results Among all cases,The rate of adhesion,neoplasm,incarcerated hernia is respective 40.9% ,33.8% and 14.8%. 131 cases were operated in 72 hours,and others were operated beyond 72 hours. 28 cases had complication and 7 cases died. The rate of death is 3.3%. Conclusion Adhesion and neoplasm were the mostly common causes of adult acute intestinal obstruction. It is the key to diagnose accurately and choose the timing of operation for decreasing complication and mortality. Some cases that possibly caused by neoplasm should be treated with non -operation, after diagnosis confirmed then do eradicative operation.