术后早期炎症性肠梗阻的特点及其治疗策略

Characteristics and management of early postoperative inflammatory intestinal obstruction:A review of 20 cases

目的 :探讨术后早期炎症性肠梗阻的临床特点和治疗方法。方法 :回顾性分析 2 0例术后早期炎症性肠梗阻的临床表现和治疗结果。结果 :全部病人均行保守治疗 ,19例治愈 ,1例遗留有不全性肠梗阻。 3个月后经腹腔镜粘连松解治愈。梗阻缓解时间 3～ 4 5天 ,平均 14 2天。结论 :对术后早期炎症性肠粘连原则上应行保守治疗 ,治疗时间可达

Objective:To explore the clinical characteristics and appropriate management of early postoperative inflammatory intestinal obstruction Methods:20 cases of early postoperative inflammatory intestinal obstruction were retrospectively analysed mainly on clinical characteristics and treatments Results:19 cases achieved remission in 3～45 days (mean 14 2 days) by conservative treatment 1 case underwent laparoscopic enterolysis in 3 months because of intractable partial intestinal obstruction Conclusion:Conservative treatment should be the first choice for patients with early postoperative inflammatory intestinal obstruction 6 weeks even longer for conservative treatment is considered safe and necessary