腹部外科手术治疗肠梗阻68例诊治体会

Diagnosis and treatment experience of 68 patients with intestinal obstruction treated by abdominal surgical treatment

目的:探讨肠梗阻的腹部外科治疗。方法:对本院1999年1月～2010年12月共手术治疗68例肠梗阻患者的病例资料,进行临床和手术方式的回顾性分析。结果:68例中,男性43例,女性25例,年龄6～78岁,手术治疗后,1例结肠癌患者术后12d心力衰竭死亡,3例手术切口感染,其余均肠梗阻缓解痊愈出院。结论:当有绞窄性肠梗阻时,较长期不缓解或反复发作时,过长的保守治疗时间常会恶化患者的全身情况,及时手术才能彻底有效解除梗阻,选择合适的手术时机,积极治疗肠梗阻,提高外科治疗肠梗阻的质量和水平。

Objective：To study the abdominal surgical treatment of intestinal obstruction.Methods：The clinical and surgical methods were analyzed retrospectively among the 68 patients with intestinal obstruction who received surgical treatment in our hospital from January 1999 to December 2010.Results：Of the 68 patients,43 were male and 25 were female,with the age of 6 to 78 years old.After surgical treatment,one patient with colon cancer died of heart failure 12 days after the surgery,three patients had surgical incision infection and the rest all relieved and fully recovered from the intestinal obstruction and were discharged from the hospital.Conclusion：When with the strangulating intestinal obstruction that doesn＇t remit for a long time or relapses repeatedly,overlong time of conservative treatment often worsens the patient＇s general conditions,and only timely surgery can remove the obstruction completely and effectively.We should choose the appropriate surgical timing,actively treat intestinal obstruction and improve the quality and level of surgical treatment for intestinal obstruction.