5923例急性肠梗阻的病因学变迁及中西医结合诊治  

Etiology Changes and Diagnosis and Treatment of Integration of Traditional Chinese Traditional and Western Medicine for 5923 Cases of Acute Intestinal Obstruction

作　　者：张楠[1] 周振理[1] 徐斌[1] 罗连城[1] 殷铭[1] 李伟[1] 姬志伟[1] 杨强[1] 陈鄢津[1] 王光霞[1] 

机构地区：[1]天津市南开医院消化外科,天津300100

出　　处：《中国中西医结合外科杂志》2013年第6期615-618,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局"十一五"重点专科(脾胃病科)项目(02H1X1L206K205)

摘　　要：目的:探讨急性肠梗阻的病因学变迁及诊治。方法:回顾性分析5923例急性肠梗阻病例的诊治经过。结果:粘连性肠梗阻始终占据病因第一位,肿瘤性肠梗阻比例明显增加,嵌顿疝比例增加。肠梗阻患者平均年龄增长,手术率、治疗有效率提高,中西医结合非手术成功率降低。结论:腹腔粘连是引起肠梗阻的首要原因;复杂性肠梗阻数量增加,肠梗阻诊断、治疗方法不断改进,提高了疗效,改善了预后。Objective： To study the etiology changes, diagnosis and treatment of acute intestinal obstruc- tion. Methods The diagnosis and treatment of 5923 cases of acute intestinal obstruction was retrospective an- alyzed. Results The proportion of adhesive intestinal obstruction is in the first place. The proportion of tumor intestinal obstruction increased obviously. The propol^ion of strangulated hernia increased. The average age in- creased. The operability and treatment efficiency increased. The success rate of nonoperative combination of Chi- nese Traditional and Western Medicine decreased. Conclusion Peritoneal adhesion was the first cause for in- testinal obstruction. The number of complex intestinal obstruction increased. Owing to the improvement of diagno- sis and treatment for intestinal obstruction, the treatment efficiency and prognosis of the disease improved as well.

关 键 词：肠梗阻 病因 诊治 

分 类 号：R656.7[医药卫生—外科学]