腹部外科近期再手术18例分析

Analysis of Early Reoperation in Abdominal Surgery on Eighteen Cases

目的探讨腹部外科近期再手术的原因、预防及处理。方法回顾性分析我院1996年1月至2006年1月收治的18例腹部外科近期再手术的临床资料。结果再手术病例发生于胃手术后6例、胆囊切除术后11例、直肠癌手术后1例、肝硬化脾切除术后1例,其原因为术后大出血、胆肠漏及医源性副损伤。所有病例均经再手术治愈。结论腹部外科近期再手术临床上并不少见,早期诊断、及时处理及有效的术后综合治疗是提高疗效的关键。

Objective To investigate and analyze the early reoperation in abdominal surgery on the cause, prevention and treatment. Methods The 18 cases of early reoperation in abdominal surgery treated in our hospital,were reviewed retrospectively from Jan 1996 to Jan 2006. Results The cases of reoperation were caused by gastrectomy in 6 cases, cholecystectomy in i icases,abdominoperineal resection in 1 case and splenectomy in 1 case. The causes of reoperation were massive bleeding,bile and bowel tistula and iatrogenic injury. All patients undergone by reoperation were cured. Conclusions The early reoperation in abdominal surgery is not a little in clinical,and its curable key is early diagnosis,early management and effective all- round theray.