小肠内支撑排列术治疗多次术后广泛粘连性肠梗阻

Internal intestinal splinting in the management of recurrent postoperative massive adhesive ileus

目的总结小肠内支撑排列术治疗多次术后广泛粘连性肠梗阻的临床经验与疗效。方法回顾分析1995～2003年间采用小肠内支撑排列术治疗多次术后广泛粘连性肠梗阻21例患者的临床资料。结果20例患者术后无并发症发生,顺利康复。1例肠坏死肠切除病例术后发生肠瘘,经内支撑管持续低负压引流后迅速痊愈。19例患者经1～7年随访,均未出现肠粘连和肠梗阻。结论对多次手术(2次以上)后出现广泛粘连性肠梗阻患者,小肠内支撑排列术是一种操作简单、安全而有效的术式。

Objective To summarize the clinical experience and efficacy of internal intestinal splinting to treat recurrent postoperative multiple intestinal obstruction due to massive adhesion. Methods From 1995 to 2003,the data of twenty one patients with recurrent postoperative massive adhesive ileus who underwent internal intestinal splinting were analyzed retrospectively. Results Among the 21 patients,twenty patients recovered smoothly with no postoperative complications. One patient with intestinal necrosis presented intestinal fistula after intestinal resection and was cured quickly by continuing negative pressure suction of internal stenting tube. Nineteen patients were followed up from 1 to 7 years,and no intestinal adhesion and obstruction occurred. Conclusion Internal intestinal splinting is a simple,safe and effective management in treating recurrent postoperative massive adhesive ileus with less complications and reliable outcome.