小肠内排列术在预防粘连性肠梗阻中的应用  

The applying of internals tenting in preventing adhesive intestinal obstruction

作　　者：展鹏远[1] 郑兰东[1] 皇甫深强[1] 

机构地区：[1]河南大学第一附属医院普外科,河南开封475000

出　　处：《中国当代医药》2011年第32期29-30,共2页China Modern Medicine

摘　　要：目的:探讨小肠内排列术在预防粘连性肠梗阻中的应用价值,提高粘连性肠梗阻的治疗效果。方法:采用小肠内排列术治疗广泛性粘连性肠梗阻48例,并进行术后跟踪随访。结果:48例均为完全性肠梗阻,首次梗阻12例,多次梗阻36例;合并肠坏死2例,术中分破肠管2例,加行肠管部分切除和修补术;术后无并发症发生,治愈率为100%;随访3个月～7年,未再发梗阻。结论:小肠内排列术安全、易行,是预防广泛性粘连性肠梗阻的有效手段,具有很高的推广价值。Objective：To investigate the valuation of internals tennting in preventing adhesive intestinal obstruction.Methods：48 cases of extensive adhesive internal obstruction received internals tenting and follow-up.Results：All of the 48 cases were complete internal obstruction.12 cases were first-time obstruction,36 cases were repeated;2 cases were complicated with local necrosis of intestine,intestines of 2 cases were split during operations,partial resections and repairs of intestines of 2 cases were split during operations,partial resections and repairs of intestine were added;no complication after operation,the rate of cure was 100%;no recurrence was found after follow-up 3 months to 7 years.Conclusion：Internals tenting is a safe,easy and efficacious method in preventing extensive adhesive intestinal obstruction;it is very valuable to spread.

关 键 词：粘连性肠梗阻 手术治疗 小肠内排列术 预防 

分 类 号：R574.2[医药卫生—消化系统]