术后炎性肠梗阻35例临床分析

Clincal analysis of 35 patients with inflammatory bowel obstruction after surgery

目的探讨术后炎性肠梗阻的诊治方法。方法回顾性分析35例术后炎性肠梗阻患者的临床资料。结果通过合理的保守治疗，治愈28例（80．0％），显效4例（11．4％），有效3例（8．6％），总有效率为100．0％；肛门排气时间为（3．1±0．8）d，排便时间为（3．3±0．8）d，肠鸣音恢复时间为（2．4±0．5）d，症状完全消失时间为（5．6±0．8）d，体温恢复正常时间为（3．0±0．5）d，治疗时间为（9．4±1．2）d。结论术后炎性肠梗阻的治疗应慎用手术治疗，采用保守治疗是安全可行的，疗效确切。

Objective To explore the diagnostic and treatment method of inflammatory bowel obstruction after surgery. Methods The clinical data of 35 patinets with inflammatory bowel obstruction after surgery were retrospectively analyzed. Results Through the conservative treatment ,28 cases were cured, accounting for 80.0% , and 4 cases were markedly effective, accounting for 11.4%, and 3 cases were effective, accounting for 8.6% , and total effective rate was 100.0% ;The anal exhaust time was（3.1 ± 0.8 ）d,and the average defecation time was （3.3 ± 0.8）d, and the bowel sounds return time was （2.4± 0.5 ） d, and the average completion time of disappearance of symptomswas（ 5.6 ± 0.8 ）d, and the time body temperature returned to normal was（ 3.0 ±0.5 ）d,and the mean treatment time was （9.4± 1.2） d. Conclusion The treatment of postoperative intestinal obstruction should be used with caution in surgical treatment, and non-surgical conservative treatment was safe and feasible and effective.