106例广泛粘连性肠梗阻临床疗效分析

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1、106例广泛粘连性肠梗阻临床疗效分析106例广泛粘连性肠梗阻I缶床疗效分析庞鸿博吉林省桦甸市中医院普外科,吉林桦甸132400［摘要］目的探讨和分析广泛粘连性肠梗阻的临床治疗效果。方法整群选择该院自2013年1月-2014年7月收治的广泛粘连性肠梗阻患者共106例，按随机原则分成对照组与观察组各为53例，对照组患者给予传统的肠梗阻手术，而观察组患者则通过小肠内排列术进行治疗”然后对比两组患者的临床治疗效果。结果观察组患者的手术时间、术中出血量分别为(2.0±0.6)h、(151.9±28.9)mLz与对照组对比，差异无统计学意义(P>0.05)

2、;观察组患者的通气时间、住院时间分别为(1.8±0.5)d、(6.5±2.5)d,均明显低于对照组；两组患者均进行随访，其中，对照组患者并发症发生率为24.5%(12/53)z明显高于观察组(9.3%,5/53),该两组并发症发生率对比，差异有统计学意义(X2=7.816,P0.05)。结论对于广泛粘连性肠梗阻患者,运用小肠内排列术进行治疗，有着效果显著、并发症率低的优点，值得临床推广。关键词广泛粘连性肠梗阻；小肠内排列术；传统肠梗阻手术［中图分类号］R61［文献标识码］A［文章编号］1674-0742(2015)08(a)・005,02Cli

3、nicalEffectofIntestinalObstructionDuetoMassiveAdhesion:anAnalysisof106CasesPANGHong-boDepartmentofGeneralSurgery,HuadianHospitalofTCMZHuadian,JilinProvince,132400China[Abstract]ObjectiveToinvestigatetheclinicaleffectofintestinalobstructionduetomassiveadhesion.Methods106patie

4、ntswithintestinalobstructionduetomassiveadhesionadmittedinourhospitalduringJanuary2013andJuly2014wererandomlydividedintocontrolgroup(n二53)andobservationgroup(n=53),inwhichpatientsweretreatedwithtraditionalsurgeryandsmallintestinalarrangement.Theclinicaleffectsofthetwogroupsw

5、erecompared.ResultsTherewerenostatisticallysignificantdifferencesinoperationdurationzintraoperativebloodlossbetweentheobservationgroup,whichwere(2.0±0.6)hand(151.9±28.9)mL,andthecontrolgroup;theventilationtime,hospitalizationtimeoftheobservationgroupwere(1.8±0.5)dand(6.5±2.5

6、)drespectively,obviouslyshorterthanthoseofthecontrolgroup;follow-upshowedthatthecomplicationratesofthetwogroupswere24.5%(12/53)and9.3%(5/53)zthereforetheobservationgroupwaslowerthanthecontrolgroupwithstatisticallysigrdficantlydifference(x2二7.816zP0.05).ConclusionForpatientsw

7、ithintestinalobstructionduetomassiveadhesion,smallintestinalarrangementhastheadvantagesofgoodeffectandlowercomplicationrates,thereforeitisworthpromotion.[Keywords]Intestinalobstructionduetomassiveadhesion;Smallintestinalarrangement;Traditionaloperationforintestinalobstructio

8、n广泛粘连性肠梗阻,通常是由腹腔炎症和手术的创伤而引发z—般会占到肠梗阻发病率的20%-63%[l]o以往运用传统的开腹保守治疗，虽然能够迅速缓解患者