CAJ | 학술논문

目的评价肠排列术在治疗小儿外科中粘连性肠梗阻的应用选择和临床疗效.方法回顾性分析2005年至2011年73例粘连性肠梗阻患儿行肠排列术的临床资料.结果 73例患儿中69例有开腹手术病史,其余4例为肠茧症.全组均行肠粘连松解及肠排列术,其中肠外排列2例,肠内排列71例.70例康复出院,死亡3例,病死率为4.1％,包括术后肠瘘1例,发生率为1.3％.62例随访2～6年,远期梗阻复发4例,复发率为5.4％.结论肠排列术是治疗小儿腹腔广泛严重粘连的有效手段,术中细致轻柔的操作以及术后抗感染和支持治疗尤为重要.
목적 평개장배렬술재치료소인외과중점련성장경조적응용선택화림상료효.방법 회고성분석2005년지2011년73례점련성장경조환인행장배렬술적림상자료.결과 73례환인중69례유개복수술병사,기여4례위장충증.전조균행장점련송해급장배렬술,기중장외배렬2례,장내배렬71례.70례강복출원,사망3례,병사솔위4.1％,포괄술후장루1례,발생솔위1.3％.62례수방2～6년,원기경조복발4례,복발솔위5.4％.결론 장배렬술시치료소인복강엄범엄중점련적유효수단,술중세치경유적조작이급술후항감염화지지치료우위중요.
Objective To evaluate the clinical experience and efficacy of internal intestinal splinting for intestinal obstruction due to massive adhesion in pediatric surgery.Methods From 2005 to 2011,the clinical data of 73 patients with massive adhesive ileus who underwent internal intestinal splinting were analyzed retrospectively.Results Among the 73 patients,70 cases recovered smoothly with no postoperative complications.Three cases (4.1％ ) of the patients died,including 1 case( 1.3％ ) of intestinal fistula.Sixty-two cases were followed up from 2 to 6 years,and intestinal obstruction reoccurred in 4 cases (5.4％).Conclusions Internal intestinal splinting is an effective management in treating recurrent postoperative massive adhesive ileus.Intraoperative meticulous gentle operation and postoperative anti-infection treatment and supportive treatment is especially important.