保守治疗创伤性肠破裂术后早期炎性肠梗阻临床分析

Analysis of Conservative Treatment early Postoperative Inflammatomy after Ilens Traumatic Intestinal Rupture

目的:观察保守治疗创伤性肠破裂术后早期炎性肠梗阻的临床疗效。方法:对我院2008年5月至2012年12月收治的82例创伤性肠破裂术后发生早期炎性肠梗阻患者的临床资料进行回顾性分析,分析临床特点及保守治疗效果。结果:本组82例患者经上述保守治疗后,治愈53例、显效25例,总有效率为95.1%,中转手术1例,无死亡病例。治愈后无腹胀、腹痛等消化道症状,均临床治愈出院,随访6-18个月,无复发病例。结论:保守治疗是创伤性肠破裂术后早期炎性肠梗阻的首选治疗方法,但应及时发现手术指征给予手术治疗,以提高治疗效果。

Objective： To observe the clinical efficacy of the conservative treatment for early postoperative inflammatory after ileus traumatic intestinal rupture. Method： In our hospital from May 2008 to December 2012, 82 patients treated traumatic intestinal rupture the postoperative the EPISBO patients, The clinical data were analyzed retrospectively, the clinical features and outcome of conservative treatment were reviened. Result： The group of 82 patients after the conservative treatment, 53 cases were cured, effective in 25 ca- ses, total effective rate was 95.1%, transit operation of one case, with out deaths. After cure gastrointestinal symptoms such as bloating, abdominal pain, were clinically cured, were followed up for 6 to 18 months, no recurrence. Conclusion： Conservative treatment is the preferred method of treatment of early postoperative inflammatory after ileus traumatic intestinal rupture, but should discover surgical indications given surgery to improve the therapeutic effect.