小肠内排列术和常规肠梗阻手术治疗广泛粘连性肠梗阻的疗效比较  

The clinical efficacy comparative observation of intestinal arrangement and conventional intestinal obstruction surgery in treatment of extensive adhesive intestinal obstruction

作　　者：刘学[1] LIU Xue(Department of General Surgery,The People＇s Hospital of Anyue County,Sichuan Province,Anyue County 642300,China)

机构地区：[1]四川省安岳县人民医院普外科,642300

出　　处：《临床合理用药杂志》2018年第25期31-32,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的比较小肠内排列术与传统常规的肠梗阻手术治疗广泛粘连性肠梗阻的疗效。方法选取医院接受治疗的70例广泛粘连性肠梗阻患者随机分成观察组和对照组各35例。观察组实施小肠内排列术治疗,对照组实施常规肠梗阻手术治疗,对比2组肠管损伤率、术中出血量、手术时间、术后通气时间以及并发症发生率。结果2组患者的肠管损伤发生率、术中出血量、手术时间比较差异均无统计学意义(P>0.05)。观察组患者通气时间明显短于对照组,并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论临床上症状运用小肠内排列术治疗广泛粘连性肠梗阻的效果较好,术后并发症发生率低,有利于患者术后的恢复。Objective To copmare the clinical efficacy of intestinal arrangement and conventional intestinal obstruction surgery in treatment of extensive adhesive intestinal obstruction. Methods Selected 70 cases patients with extensive adhesive intestinal obstruction,70 cases patients were randomly divided into observation group and control group,each of 35 cases.Observation group was treated by intestinal arrangement. Control group was treated by conventional intestinal obstruction surgery. Compared the intestinal injury rate,intraoperative blood loss,operation time,postoperative ventilation time and complication rate of 2 groups. Results The intestinal tube injury rate,intraoperative blood loss,operation time of 2 groups was no statistic significant（ P 〉0. 05）. The ventilation time of observation group was shorter than that of control group,the complications incidence of observation group was significantly lower than that of control group,the difference was statistic significant（ P〈 0. 05）.Conclusion Intestine alignment for the treatment of extensive adhesive intestinal obstruction has a good effect,and the incidence of postoperative complications is low,which is conducive to the recovery of patients after surgery.

关 键 词：广泛粘连性肠梗阻 传统肠梗阻手术 小肠内排列术 并发症 效果 

分 类 号：R656[医药卫生—外科学]