慢性假性肠梗阻11例临床分析

Clinical analysis of 11 cases of chronic intestinal pseudoobstruction

目的分析慢性假性肠梗阻的临床特点，提高该病的诊断率。方法对1992年至2009年在洛阳市第二中医院外科住院并确诊的11例CIP患者的临床资料进行回顾性分析。结果特发性CIP2例，继发性CIP9例，其中合并系统性红斑狼疮4例，进行性系统性硬化病1例，糖尿病3例，甲状腺功能减退1例。手术治疗3例，余保守治疗。结论临床上对该病的认识仍然不足，尽量避免手术治疗，重视病因治疗。

Objective To analyze the clinical characteristics and treatment of chronic intestinal pseudoobstruction （CIP）. Methods Clinical datas of 11 CIP patients admitted to our hospital from 1992 to 2009 were reviewed retrospectively. Results There were 2 cases with chronic idiopathic intestinal pseudoobstruction,9 cases with chronic secondary intestinal pseudoobstruction （including 4 cases compli- cated with SLE, 1 cases with systemic sclerosis ,3 cases with diabetes mellitus, 1 case with hypothyroidism. Three cases underwent operation, others accepted conservative treatment. Conclusions Clinical doctors still have no enough recognition about this disease. Operation should be avoided as far as possible. Etiolog- ical treatment should be taken into account.