术后早期炎性肠梗阻23例治疗体会

目的：探讨术后早期炎性肠梗阻的治疗方法及效果。方法：23例术后早期炎性肠梗阻患中，采取保守治疗13例，手术治疗10例，其中粘连松解术5例，部分小肠切除术2例，小肠双造瘘术3例。结果：保守治疗组治愈11例，缓解2例；手术治疗组死亡1例，痊愈9例。结论：炎性肠梗阻应尽可能采用非手术治疗，但怀疑有肠绞窄或继发腹腔脓肿时应采取手术治疗。适宜的手术处理也可获得较好的疗效。

Experiences in the Treatment of Early Postoperative Inflammatory Ileus (a Report of 23 Cases)

Objective To evaluate the therapies and effect of treating early postoperative inflammatory ileus(EPII). Methods In 23 cases of EPII, 13 cases received nonoperative therapy and 10 cases received operative therapy including adhesiotomy in 5 cases, enterectomy in 2 cases and double enterostomy in 3 cases. Results 11 cases were cured and 2 cases were improved in nonoperative group, and 9 cases were cured and 1 case died in operative group. Conclusions EPII should be treated with nonoperative therapy if suitable. Operative therapy should be taken when suspected bowel strangulation or continuous abdominal cavity abscess occur. Choosing proper operative approach can obtain better effect.