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疗效观察

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1、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疗效观察1北安市庆华医院164000;2北安市第一人民医院164000【摘要】目的：研究分析小肠内排列术与传统肠梗阻手术治疗广泛粘连性肠梗阻疗效。方法：此次研允的对象是选取2004年1月-2013年12月笔者所在医院收治的广泛粘连性肠梗阻患者80例，将其临床资料进行回顾性分析，并分为对照组与观察组，每组40例。对照组患者使用传统肠梗阻手术进行治疗，观察组患者使用小肠内排列术进行治疗，对两组患考的治疗效果进行对比与分析。结果：观察组患者手术时间、术屮出血量及肠管

2、损伤率与对照组比较差异均无统计学意义(P>0.05)o对照组9例患者出现并发症，并发症发生率为22.5%,观察组屮3例患者出现并发症，并发症发生率为7.5%,两组比较差异有统计学意义(P<0.05)o观察组患者通气时间住院时间均明显低于对照组，住院费用明显少于对照组，两组比较差异均有统计学意义(P<0.05)o结论：小肠内排列术在广泛粘连性肠梗阻治疗屮的应用，提高了患考的治疗效果，降低患考的复发率，减轻患者及其家属的经济压力。【关键词】小肠内排列术：传统肠梗阻手术：广泛粘连性肠梗阻[Abstr

3、act]Objective：Tostudythecurativeeffectofsmallintestinalalignmentandtraditionalintestinalobstructionoperationinthetreatmentofintestinalobstruction.Methods：thesubjectsofthisstudyare80patientswithadhesiveintestinalobstructionfromJanuary2004-2013yearinDecemberin

4、ourhospitalwereretrospectiveanalysis,anddividedintocontrolgroupandobservationgroup，40casesineachgroup.Patientsinthecontrolgroupweretreatedwithconventionalintestinalobstructionsurgery,theobservationgroupweretreatedwithsmallbowelalignment,andthetreatmenteffect

5、ofthetwogroupswerecomparedandanalyzed.Results：theoperativetime,bloodlossandintestinalinjuryratecomparedwiththecontrolgrouphadnostatisticalsignificance(P>0.05).Thecontrolgroupof9patientswithcomplications，theincidenceofcomplicationswas22.5%,theobservationgr

6、oupof3patientswithcomplications，theincidenceofcomplicationswastwo，thedifferencebetweenthe7.5%groupswasstatisticallysignificant(P<0.05).Observationgroupofpatientsweresignificantlylowerthanthecontrolgroup,thehospitalizationtimewassignificantlylessthanthecon

7、trolgroup，thedifferencebetweenthetwogroupswerestatisticallysignificant(P<0.05).Conclusion：theapplicationofsmallintestinalalignmentinthetreatmentofextensiveadhesiveintestinalobstruction,improvethetreatmenteffectofpatients，reducetherecurrencerateofpatients，

8、reducetheeconomicpressureofpatientsandtheirfamilies.[Keywords]smallintestinearrangement;traditionalintestinalobstructionoperation;extensiveadhesiveintestinalobstruction外科临床治疗中常见粘连性肠梗阻，主要是腹腔炎症、手术