小肠折叠术防治复发性粘连性肠梗阻

INTESTINAL PLICATION IN THE PREVENTION AND TREATMENT OF RECURRENT ADHESIVE INTESTINAL OBSTRUCTION

粘连性肠梗阻术后复发是外科工作中一个难题,而且一次比一次严重。我院自1987年7月至1992年10月对广泛性及复发性粘连性肠梗阻,采用改进的Childs肠折叠术治疗12例病人,收到良好效果。 临床资料 一、性别、年龄:本组男10例,女2例。年龄最大14岁,最小1岁。 二、粘连类型:广泛性粘连5例。局限性粘连7例,其中因粘连性肠梗阻行粘连松解术后复发1次的4例,复发2次的6例,复发3次的2例。 三、手术方式:全组病例均采用Childs术式,其中肠切除后行折叠术者3例。 四、疗效及随访:本组随访11例(随访率92％)。

From Jul, 1987 to Oct, 1992, 12 children with intestinal obstruction due to extensive recurrent adhesion were treated with Childs-Phillips intestinal plication. The patients' age ranged from 1 to 14 years old. They were followed up and the results were excellent. The Childs - Phillips procedure is simpler and safer than the Noble's procedure. The essentials of Childs-Phillips technique were discussed.