78例粘连性肠梗阻治疗效果的临床研究

Clinical study of therapeutic effect of 78 cases of adhesive intestinal obstruction

目的探讨手术治疗和非手术保守治疗粘连性肠梗阻的临床效果。方法 78例粘连性肠梗阻患者,根据治疗方法不同分为手术治疗组(42例,采用手术治疗)和保守治疗组(36例,采用保守治疗)。比较两组患者治疗效果、平均缓解时间、平均住院时间及粘连性肠梗阻复发率。结果两组患者治疗总有效率比较差异无统计学意义(P>0.05);手术治疗组患者治愈率为100.00%,明显高于保守治疗组的36.11%,差异具有统计学意义(P<0.05)。手术治疗组患者平均缓解时间、平均住院时间均短于保守治疗组,差异具有统计学意义(P<0.05)。随访2年,手术治疗组患者粘连性肠梗阻复发率为4.76%,明显低于保守治疗组的19.44%,差异具有统计学意义(P<0.05)。结论手术治疗粘连性肠梗阻术后恢复快,复发率低,远期效果较好。

Objective To investigate the clinical effect of surgical and non-surgical conservative treatment for adhesive intestinal obstruction. Methods A total of 78 adhesive intestinal obstruction patients were divided by different treatment methods into surgical treatment group （42 cases, surgical treatment） and conservative treatment group （36 cases, conservative treatment）. Cofnparison were made on treatment effect, mean remission time, mean hospitalization time and recurrence rate of adhesive intestinal obstruction in two groups. Results Both groups had no statistically significant difference in total treatment effective rate （P〉0.05）. The surgical treatment group had obviously higher cure rate as 100.00% than 36.11% in the conservative treatment group, and their difference had statistical significance （P〈0.05）. The surgical treatment group had shorter mean remission time and mean hospitalization time than the conservative treatment group, and the difference had statistical significance （P〈0.05）. After 2 years of follow-up, the surgical treatment group had obviously lower recurrence rate of adhesive intestinal obstruction as 4.76% than 19.44% in the conservative treatment group, and their difference had statistical significance （P〈0.05）. Conclusion Surgical treatment of adhesive intestinal obstruction shows fast postoperative recovery and low recurrence rate, and its long-term effect is better.