小肠排列术治疗复杂性肠梗阻34例临床效果分析

Clinical analysis of 34 patients with complicated intestinal obstruction treated by intestinal plication

目的观察小肠排列术治疗复杂性肠梗阻的临床效果。方法将68例我院收治的复杂性肠梗阻患者随机分为对照组和观察组,各34例。对照组采用常规手术治疗,观察组采用小肠排列术治疗。比较两组患者术后排气、排便、腹胀消除时间,不同时间段C反应蛋白水平及随访过程中不良反应发生情况。结果观察组术后排气、排便、腹胀消除时间均短于对照组(P<0.05)。两组术后7、30 d的C反应蛋白水平均显著低于术后1 d,且观察组明显低于对照组(P<0.05)。观察组发热、腹痛呕吐发生率低于对照组(P<0.05)。结论小肠排列术治疗复杂性肠梗阻的临床效果显著,不良反应少,值得临床推广。

Objective To observe the clinical effect of intestinal plication on complicated intestinal obstruction. Methods Sixty-eight cases of patients with complicated intestinal obstruction were randomly divided into control group and observation group, with 34 cases in each group. Conventional surgical in our hospital treatment was used in the control group, and intestinal placation was used in the observation group. The eliminate time of postoperative exhaust, defecation, and abdominal distension, C-reactive protein levels at different time period, adverse reactions during follow-up were compared in the two groups. Results The eliminate time of postoperative exhaust, defecation, and abdominal distension of the observation group were significantly shorter than those of the control group （P〈0.05）. The levels of C-reactive protein in two groups at 7, 30 d after operation were lower than those at 1 d after operation, and the levels of the observation group were lower than those of the control group （P〈0.05）. The incidences of fever, abdominal pain and vomiting of the observation group were lower than those of the control group （P〈0.05）. Conclusion Intestinal plication has remarkable clinical effect for complicated intestinal obstruction, with less adverse reactions, which is worthy of clinical application.