绞窄性肠梗阻早期诊断与手术时机的选择研究

Research on Early Diagnosis of Strangulated Intestinal Obstruction and Selection of Operative Opportunity

目的对绞窄性肠梗阻疾病的早期诊断方法研究以及最佳手术时机的选择研究。方法回顾性分析2012年6月—2017年6月该院收治的100例绞窄性肠梗阻患者的临床诊治资料,总结早期诊断的结果和手术时机的选择。结果 100例患者中术前诊断为绞窄性肠梗阻的有67例,其中合并肠坏死患者20例,其他患者的确诊是在进行崁顿疝以及剖腹探查的时候,术前确诊率为67%。共有94例患者治愈,有6例患者死亡。死因为肠痿并发症感染的有3例,死于感染性休克的患者3例。手术治愈率为94%,治疗无效率为6%。结论早期诊断出绞窄性肠梗阻并采用正确的治疗方案可以极大地提高患者的治愈率,加强手术期的护理和预防术后并发症可以降低患者病死率。

Objective To research the early diagnosis of strangulated intestinal obstruction and selection of operative opportunity. Methods 100 cases of patients with strangulated intestinal obstruction admitted and treated in our hospital from June 2012 to June 2017 were selected and the early diagnosis results and selection of operation opportunity were summarized. Results Of 100 cases, there were 67 cases diagnosed with strangulated intestinal obstruction before surgery, including 20 cases with intestinal necrosis, and the preoperative confirmation rate was 67% at the time of incarcerated hernia and exploratory laparotomy, and 94 cases were cured and 6 cases died, and there were 3 cases with infection of intestinal fistula complications, 3 cases died due to infectious shock, and the operation healing rate was94%, and the treatment ineffective rate was 6%. Conclusion The accurate treatment plan in early diagnosis of strangulated intestinal obstruction can greatly improve the cure rate, and enhancing the nursing during the operation and preventing the postoperative complications can reduce the mortality of patients.