高龄患者腹股沟斜疝并小肠嵌顿术后便血原因及治疗的临床分析  

Clinical analysis of postoperative hematochezia in elderly patients with inguinal hernia complicated with incarcerated intestine

作　　者：李亮[1] 方丹[1] 隋梁[1] 刘铮[1] 吕国庆[1] 李粤[1] 

机构地区：[1]北京大学深圳医院,深圳518036

出　　处：《中华疝和腹壁外科杂志（电子版）》2013年第1期51-52,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨高龄患者腹股沟斜疝合并小肠嵌顿术后小肠出血的原因及治疗。方法选取北京大学深圳医院1999年11月至2011年6月腹股沟斜疝合并小肠嵌顿患者32例,全部为男性患者,年龄70～91岁,其中术中诊断小肠坏死行小肠部分切除20例,为A组,术中小肠无坏死单纯行小肠回纳12例,为B组。便血后确诊办法为数字减影血管造影(DSA)检查,治疗方法为保守治疗。结果 A组与B组发生术后小肠出血发生率分别为:70%、50%,其中合并糖尿病比例分别为92.9%、83.3%,全部采用保守治疗成功。结论高龄患者腹股沟斜疝合并小肠嵌顿有较高的术后小肠出血发生率,保守治疗是有效的治疗手段。Objective To explore the causes and treatment of postoperative small bowel bleeding in elderly patients with inguinal hernia complicated with incarcerated intestine. Methods A total of 32 cases of patients with inguinal hernia complicated with incarcerated intestine from November 1999 to June 2011 were enrolled, including 20 cases with intraoperative diagnosis of small bowel necrosis in intestine resection （Group A） and 12 cases without necrosis （Group B）. All of them were male patients with age of 70 to 91 years who were diagnosed by DSA after bleeding and were treated with conservative treatments. Results The incidences of postoperative intestinal bleeding were 70% and 50% in group A and B ,respectively. Of them, 92.9% and 83.3% of patients were complicated with diabetes and treated with conservative treatments. Conclusions The conservative therapy is an effective treatment for the elderly patients with a higher incidence of intestinal bleeding after the inguinal hernias were complicated with incarcerated intestines.

关 键 词：疝 腹股沟 胃肠出血 小肠 坏死 

分 类 号：R656.2[医药卫生—外科学]