绞窄性肠梗阻早期诊断与手术时机的选择  

Early diagnosis and surgery timing of strangulated intestinal obstruction

作　　者：张文华[1] 刘志雄 周松[1] 刘静[1] 杨爱国[1] 邹耀祥[1] 聂凯[1] 

机构地区：[1]解放军第175医院普通外科 [2]解放军73156部队医院

出　　处：《局解手术学杂志》2017年第10期735-738,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨绞窄性肠梗阻早期诊断及手术时机选择的意义。方法回顾性分析解放军第175医院普通外科2013年1月至2016年1月收治的90例绞窄性肠梗阻手术患者的临床资料,将2013年1月至2014年2月28例患者作为早期阶段组,2014年3月至2016年1月62例患者为后期阶段组。90例绞窄性肠梗阻患者均行手术治疗,分析2组患者的死亡率及坏死肠管切除率。结果 90例绞窄性肠梗阻患者中88例治愈,2例死亡。10例坏死肠管切除,坏死肠管切除率11.11%,其中早期阶段组死亡1例,坏死肠管切除8例;后期阶段组死亡1例,坏死肠管切除2例。结论早期诊断并及时手术治疗可降低绞窄性肠梗阻的死亡率及坏死肠管切除率。Objective To investigate the early diagnosis and surgery timing of strangulated intestinal obstruction. Methods The clini- cal data of 90 patients with strangulated intestinal obstruction who were admitted into our hospital from January 2013 and January 2016 were retrospectively analyzed. And these patients were divided into the early stage group （28 cases ） and the later stage group （62 cases）. The rate of mortality and the rate of necrotic bowel resection of the two groups were analyzed. Results Among the 90 patients underwent emergency surgery, there were 88 cases cured and 2 cases died, and there were 10 cases （ 11.11% ） of necrotic bowel resection among the survivor. In the early stage group, there were 8 cases of necrotic bowel resection and 1 case of death. In the later stage group,there were 2 cases of necrotic bowel resection and 1 case of death. Conclusion Early diagnosis and prompt surgical treatment can reduce the mortality of strangulation ob- struction and necrosis of bowel resection.

关 键 词：肠梗阻 绞窄性 手术 诊断 治疗 早期 

分 类 号：R656.1[医药卫生—急诊医学]