肠梗阻112例外科治疗体会

Surgical Treatment of 112 Cases of Intestinal Obstruction

目的:探讨肠梗阻的外科治疗时机与方法。方法:回顾性分析行手术治疗的112例肠梗阻患者临床资料。结果:在112例肠梗阻中,粘连性肠梗阻57例,肠道肿瘤性肠梗阻36例,嵌顿疝性肠梗阻9例,肠套叠6例,肠扭转2例,结肠粪便堵塞2例。外科治疗后108例治愈,3例好转,1例死亡。结论:肠粘连和肠道肿瘤引起的肠梗阻最为常见,应根据患者的具体病因、病情,选择恰当的手术时机和合理的手术治疗方法。

Objective：To investigate the operating occasion and surgical methods of intestinal obstruction. Meth-ods：The clinical data of 112 cases of intestinal obstruction who underwent surgery in our hospital were retrospectively analyzed. Results：Among 112 patients with intestinal obstruction, adhesive intestinal obstruction, intestinal obstruc-tion resulting from intestinal tumor, incarcerated intestinal obstruction, intussusception, volvulus and blockage of colon by feces account for 57, 36, 9, 6, 2 and 2 respectively. 108 patients were healed, 3 patients improved and one patient died. Conclusion：Intestinal adhesion and intestinal tumor are the most common etiologies of intestinal ob-struction. It is very important to select suitable operating occasion and take appropriate surgical procedure to treat in-testinal obstruction according to patients＆#39; etiology and condition.