小肠内排列术治疗广泛粘连性肠梗阻的疗效

Effect of Intestinal Plication for Extensive Adhesion Intestinal Obstruction

目的观察小肠内排列术治疗广泛粘连性肠梗阻的疗效。方法将78例广泛粘连性肠梗阻患者随机分为两组,对照组行传统手术治疗,观察组行小肠内排列术,比较手术效果及术后并发症情况。结果两组患者术中出血量比较差异不具有统计学意义(P>0.05);而观察组手术时间、术后排气时间、术后排便时间、腹胀消除时间及平均住院时间均较对照组显著减少(P<0.05);两组术后膀胱损伤发生率比较差异不具有统计学意义(P>0.05),观察组术后肠瘘、低血容量性休克、切口感染、腹腔脓肿、再次肠梗阻及间断性腹胀的发生率较对照组显著降低(P<0.05)。结论小肠内排列术治疗广泛粘连性肠梗阻疗效确切,可作为临床治疗的首选术式。

Objective To observe the curative effect of small intestinal plication for extensive adhesion intestinal obstruction.Methods 78 cases of extensive adhesion intestinal obstruction patients were randomly divided into two groups,the control group received traditional operation treatment, the observation group for intestinal plication, compare the operation effect and complications after operation.ResultsPatients in the two group comparison of difference of bleeding volume was not statistically signiifcant （P〉0.05）, and the observation group operation time,postoperative exhaust time, postoperative defecation time, abdominal distension and eliminate the time and the average hospitalization time were significantly lower than in control （P〈0.05）.Two groups of postoperative bladder injury was not statistically significant differences （P〉0.05）, the observation group postoperative intestinal fistula, hypovolemic shock, infection of incision, abdominal abscess, intestinal obstruction and again intermittent abdominal distension rate was lower than the control group （P〈0.05）.Conclusion Intestinal plication for extensive adhesion ileus curative effect, can be used as the preferred technique in clinical treatment.