四十例术后炎性肠梗阻诊疗分析

Clinical analysis of the diagnosis and treatment of early postoperative inflammatory intestinal obstruction,report of 40 cases

目的对早期炎性肠梗的临床特点进行分析,探讨其诊断及治疗方法。方法回顾性分析2012年06月至2017年06月40例早期炎性肠梗阻患者临床资料,对其临床特点、诊断治疗方法和预后进行总结。结果38例患者于保守治疗后2周内症状消失,平均治愈时间(12.8±2.5)d。另外2例患者经保守治疗后无显著改善,进行再次手术治疗。结论对术后早期炎性肠梗阻患者应反复对其进行详细体格检查及必要相关检查,尽早做出诊断,以保守治疗为主,多可取得良好效果,对保守治疗无效、出现完全性或绞窄性肠梗阻及腹膜炎症状的患者应及时采取手术治疗。

Objective To analyze the clinical features of early postoperative inflammatory intestinal obstruction,and to discuss its diagnosis and management protocol.Methods From June 2012 to June 2017,clinical data of 40 cases of early inflammatory intestinal obstruction were analyzed retrospectively.Their clinical features,protocols of diagnosis and management,and prognosis were summarized.Results 38 cases were cured within 2 weeks by conservative treatment,with an average of(12.8±2.5)days,while the other 2 cases without improvement by conservative treatment,then received re-operation.Conclusions Regular detailed physical examinations and associated diagnostic tools are mandatory for suspicious patients of early postoperative inflammatory intestinal obstruction.Prompt diagnosis and conservative therapy might achieve satisfactory results in most cases.Reoperation is needed for those who fail after conservative course and have symptoms of completely or strangulation intestinal obstruction or peritonitis.