短肠综合征肠道再手术分析  

Reoperation for short bowel syndrome with intestinal disorders

作　　者：李幼生[1] 李宁[1] 李元新[1] 任建安[1] 朱维铭[1] 赵允召[1] 王剑[1] 郭明晓[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院全军普通外科研究所,江苏南京210002

出　　处：《中国实用外科杂志》2011年第9期820-822,共3页Chinese Journal of Practical Surgery

摘　　要：目的分析手术后短肠综合征(SBS)病人再手术,降低SBS再手术率。方法回顾性总结2001年1月至2010年12月南京军区南京总医院解放军普通外科研究所收治的短肠综合征病人198例,其中因肠道原因而再次手术治疗病人76例(男59例,女17例),年龄5~62(37.98±13.75)岁,残存小肠长度0~150(72.53±41.83)cm。结果 76例SBS接受再次手术124(1.63±0.4)例次,再次手术以肠造口还纳(43例次)、腹腔感染引流(28例次)及病变肠袢切除吻合(肠梗阻13例次、肠瘘12例次,蛋白质丢失病7例次、肠穿孔/肠坏死5例次)为主。SBS病人因肠道原因再手术率为38.4%。结论 SBS病人因肠道原因再手术率较高,选择合理的首次手术方式,有助于降低再手术率。Objective To review the reoperation for short bowel syndrome patients wilh inteslinal disorders. Methods From January 2001 to Deeemder 2010, a eonsecutive series of 198 patients with short bowel syn（lrnme was reviewed, retrospective. Of the 198 patients, 76 patients with intestinal disorders underwent reoperation. They included 56 men and 16 women （median age, 37.98±13.75 years; range, 5 - 62 years）.The remaining small intestine length was 72.53±41.83（0 - 150）era. Results Seventy-six patients underwent 124（1.63±0.46）reoperalions, including takedown of enterostomy, drainage fror inlra-abdominal ini^etions, intestinal resection and anastomosis inuding obstruction, fistula, protein-losing enteropathy, intestinal per fbrmation and necrosis）. The reoperation rate of SBS fi）r intestinal disonhers was 38.4% （76/198）. Conclusion The reoperation rate of SBS fnr intestinal disorders was so high. Reasonable surgical procedures in the paimary operation have the potential to reduee renperation rate for small bowel syndrome

关 键 词：短肠综合征 再手术 肠道疾病 

分 类 号：R6[医药卫生—外科学]