腹内疝所致肠梗阻32例临床诊治体会

目的　提高对腹内疝所致肠梗阻的认识。方法　回顾性分析 32例腹内疝所致肠梗阻病人的临床资料。结果　 32例均为小肠疝入粘连形成的孔隙引起 ,术前诊断率为 5 6 .3% (1 8/32 ) ,术中证实并伴有肠坏死者为 71 .9% (2 3/32 ) ,死亡率为 9.4 % (3/32 )。结论　本病术前诊断困难 ,即使作出诊断也多已有肠坏死。对本病临床特点缺乏认识是延误诊断的主要原因

Diagnosis and treatment of intestinal obstruction induced by internal hernia: A retrospective analysis of 32 cases

Objective To improve the understanding of intestinal obstruction (IHIO) induced by internal hernia.Methods The clinical data of 32 patients suffered from IHIO were analyzed retrospectively.Results In the 32 patients, the intra abdominal adhesion was the cause of IHIO.The preoperative diagnosis was made in 18 cases( 56.3% )and the intestinal strangulation was confirmed by laparotomy in 23 patients( 71.9% ).The mortality was 9.4% (3/32).Conclusion The preoperative diagnosis of IHIO is difficult.Most of the patients were complicated with intestinal strangulation when laparotomy was performed.The poor understanding on the clinical characteristics of this disease was the major cause of the misdiagnosis about IHIO.