探讨小肠内排列术与传统肠梗阻手术治疗广泛粘连性肠梗阻的效果

Exploration on effect of small intestine internal arrangement and traditional intestinal obstruction operation in the treatment of extensively adhesive intestinal obstruction

目的对比广泛粘连性肠梗阻患者接受传统肠梗阻手术和小肠内排列术治疗的临床效果。方法 73例广泛粘连性肠梗阻患者,随机分为对照组(36例)及观察组(37例),对照组使用传统肠梗阻手术治疗,观察组使用小肠内排列术治疗。比较两组患者的腹胀消失时间、胃肠功能恢复时间及并发症发生情况。结果观察组患者的腹胀消失时间为(4.04±0.76)d、胃肠功能恢复时间为(2.36±0.52)d,均短于对照组的(6.21±1.21)、(3.32±0.56)d,差异均具有统计学意义(P<0.05)。观察组并发症发生率为2.7%,低于对照组的16.7%,差异具有统计学意义(χ~2=4.104,P<0.05)。结论广泛粘连性肠梗阻患者接受小肠内排列术治疗的临床效果比传统肠梗阻手术治疗良好,患者术后康复时间更短,并发症发生率更低,临床中应用价值突出。

Objective To compare the clinical effect of extensively adhesive intestinal obstruction patients treated with small intestine internal arrangement and traditional intestinal obstruction operation.Methods A total of73extensively adhesive intestinal obstruction patients were randomly divided into control group(36cases)and observation group(37cases).The control group received traditional intestinal obstruction operation for treatment,and the observation group received small intestine internal arrangement for treatment.Comparison were made on abdominal distension disappearance time,gastrointestinal function recovery time and occurrence of complications in two groups.Results The observation group had abdominal distension disappearance time as(4.04±0.76)d,gastrointestinal function recovery time as(2.36±0.52)d,which were all shorter than(6.21±1.21)and(3.32±0.56)d in the control group,and their difference had statistical significance(P<0.05).The observation group had lower incidence of complications as2.7%than16.7%in the control group,and the difference hadstatistical significance(χ2=4.104,P<0.05).Conclusion Small intestine internal arrangement provides better treatment effect than traditional intestinal obstruction operation in the treatment of extensively adhesive intestinal obstruction patients,with shorter postoperative rehabilitation time and lower incidence of complications,and it has outstanding application value in clinic.