粘连性肠梗阻54例手术治疗体会

Experience of surgery treatment about 54 cases of adhesive intestinal obstruction

目的探讨粘连性肠梗阻的手术指征和手术时机。方法回顾性分析我院2002年9月～2006年9月手术治疗粘连性肠梗阻54例的临床资料。结果本组54例全部治愈出院。术后发生伤口感染3例,术后5～7d再次出现梗阻者2例,均经保守治疗缓解。结论急性粘连性肠梗阻的最佳手术时机应在肠绞窄发生之前。应用腹腔镜技术则手术指征可适度放宽。

Objective To investigate the surgical indications and opportunity of adhesive intestinal obstruction. Methods Clinical data of 54 cases of adhesive intestinal obstruction surgically treated from Sep. 2002 to Sep. 2006 were retrospectively analyzed. Results All of the 54 cases of adhesive intestinal obstruction were cured and discharged. Postoperative wound infection occurred in 3 cases and re-obstruction in 2 cases 5 to 7 days after operation, and all of them were subjected to conservative treatment. Conclusion Surgical treatment of acute adhesive intestinal obstruction was done before guttie. The use of laparoscopy can broaden surgical indications of adhesive intestinal obstruction.