肠结核并发肠梗阻的手术治疗

目的 探讨结核性肠梗阻的手术治疗.方法 对我院2008年10月至2011年10月收治的28例肠结核并发肠梗阻患者的临床资料进行回顾性分析.结果 治愈20例(71.1％),Ⅱ期手术6例(21.4％),并发肠瘘2例(7.1％),术后再次肠梗阻2例(7.1％).结论 结核性肠梗阻患者病程长、全身情况差、手术复杂、Ⅱ期手术率较高.必须加强抗结核及营养支持治疗.手术以解除肠梗阻为主,情况好转后可行Ⅱ期手术.

Surgical treatment of intestinal tuberculosis concurrent with intestinal obstruction

Objective To study the clinical therapeutic experience of intestinal tuberculosis concurrent with intestinal obstruction and improve the level of treatment. Methods From Oct. 2008 to Oct. 2011, 28 patients with intestinal tuberculosis concurrent with intestinal obstruction receiving oporations were analyzed retrospective- ly. Results In those 28 operative patients, 20 cases were cured（71.1% ）, 6 cases（21.4% ） received second stage operations, 2 cases （7. 1% ） concurrent with intestinal fistula and 2 cases （7. 1% ） got once more intestinal obstruction after operation treatments. Conclusions The course of tubercular intestinal obstruction patient is long. Patients＇ whole body situation is bad and the second stage surgery rate is high. Therefore we should strengthen the anti-tuberculosis and the nutrition support treatment before or after operations. The surgery relieves the obstruction primarily. Second stage surgery treatment, is feasible after the situation changes is improved.