腹部手术后早期炎性肠梗阻32例诊治体会

Experience on diagnosis and treatment of 32 patients with early postoperative inflammatory bowel obstruction

目的探讨腹部手术后早期炎性肠梗阻的临床特点、诊断及治疗。方法回顾分析32例腹部手术后早期炎性肠梗阻的临床表现及诊疗方法。结果 32例患者中,30例第1次手术后发生早期炎性肠梗阻,均经保守治疗痊愈,平均治疗时间为10 d,无一例并发症发生;2例因考虑术后早期机械性肠梗阻,术中因分离粘连引起肠壁破损,被迫行小肠部分切除,经保守治疗3周后痊愈。结论腹部手术后早期炎性肠梗阻保守治疗效果良好。

Objective To investigate the clinical characteristics and diagnosis and treatment principles of early postoperative inflammatory bowel obstruction. Methods The clinical manifestations and the methods of diagnosis treatment of 32 patients with early postoperative inflammatory bowel obstruction were analyzed retrospectively. Results In a total of 32 patients,30 patients who suffered from bowel obstruction after the first time of operation recovered after conservative treatment. The mean cure time was 10 days,no complication was found. Two patients who suspected of having mechanical bowel obstruction underwent operation again,during which multiple rupture of of the small bowel happened and a portion of the small bowel were cut off. They both recovered after 3 weeks of conservative treatment. Conclusion The conservative treatment of early postoperative inflammatory bowel obstruction has better therapeutic efficacy.