绞窄性肠梗阻108例早期诊断与手术时机的探讨

目的探讨绞窄性肠梗阻的早期诊断和手术时机。方法回顾性分析2000年1月至2008年10月间收治的108例绞窄性肠梗阻的临床资料。结果本组术前诊断绞窄性肠梗阻69例（63．9％），其中肠坏死22例（20．4％），余均为嵌顿疝和剖腹探查时确诊。治愈101例（93．5％），死亡7例（6．5％）。结论早期及时采取正确的处理是提高本病治疗效果最有效手段；加强围手术期处理，积极防治并发症是降低病死率的关键。

Early diagnosis and operative timing of strangulating intestinal obstruction in 108 patients

Objective To investigate the early diagnosis and operative timing of strangulating intestinal obstruction. Methods The clinical data of 108 patients with strangulating intestinal obstruction treated in our hospital from January 2000 to October 2008 were analyzed retrospectively. Results Only 69 patients(63. 9 %) were diagnosed with strangulating intestinal obstruction before operation , and the other 22 patients(20.4%) were diagnosed at laparotomy. 101 patients were cured(93. 5%), and 7 dead(6. 5%).Conclusion Early and seasonable operation is the most effective treatment of strangulating intestinal obstruction .Perioperative management and treatment of postoperative complications are both the key to decreasing mortality.