手术后早期炎性肠梗阻45例临床观察

Experience of Diagnosis and Treatment of early Postoperative Inflammatory Small Bowel Obstruction

目的:探讨术后早期炎性肠梗阻的病因、临床特点和诊断治疗。方法:回顾性分析45例术后早期炎性肠梗阻患者的临床资料和治疗效果,对比术后未出现肠梗阻的患者,相关资料使用卡方检验。结果:患者均采用保守治疗,所有病人经保守治疗后治愈。两组患者年龄、手术涉及范围、手术时间比较并无统计学意义,而两组患者是否急诊手术、短期内手术次数和是否肠梗阻手术比较有有统计学意义。结论:肠梗阻手术、急诊手术和短期内多次手术的患者容易出现术后早期炎性肠梗阻,术后早期炎性肠梗阻保守治疗有效。

Objective： To explore and summarize the etiology, clinical characteristics, diagnosis and treatment of early postoperative inflammatory small bowel obstruction（EPISBO）. Methods： All cases were cured by non -operative therapy. Clinical data was compared with postoperative cases without bowel obstruction. No significant difference was found in age, operative region, operative duration, and significant difference was found in emergent operation, operation of bowel obstruction and times of operation between two groups. Conclusion： Operation of bowel obstruction, repeated operation and emergency operation are high risk factors of EPISBO. Non -operative therapy is effective for EPISBO.