CAJ | 학술논문

目的：探讨海南地区粪石性肠梗阻成因、临床表现及治疗方法。方法对2012年5月我院海南分院收治的1例粪石性肠梗阻的临床资料、手术方法及治疗经验进行分析，并进行相关文献复习。结果患者入院后经保守治疗无效，在全麻下接受腹腔镜探查术、小肠切开粪石取出术，术后16 d再次出现梗阻，肠镜下明确为粪石梗阻，术后23 d二次行剖腹探查、小肠切开粪石取出术。患者二次术后第3天恢复胃肠道功能，第9天进固体食物，第13天痊愈出院，未出现手术并发症。结论进食番石榴可能为海南地区粪石性肠梗阻的主要原因，诊治应注意选择合理的手术方式，防止并发症发生。
목적：탐토해남지구분석성장경조성인、림상표현급치료방법。방법대2012년5월아원해남분원수치적1례분석성장경조적림상자료、수술방법급치료경험진행분석，병진행상관문헌복습。결과환자입원후경보수치료무효，재전마하접수복강경탐사술、소장절개분석취출술，술후16 d재차출현경조，장경하명학위분석경조，술후23 d이차행부복탐사、소장절개분석취출술。환자이차술후제3천회복위장도공능，제9천진고체식물，제13천전유출원，미출현수술병발증。결론진식번석류가능위해남지구분석성장경조적주요원인，진치응주의선택합리적수술방식，방지병발증발생。
Objective To study the causes, clinical features and treatment of stercoral ileus in Hainan Province. Methods Clinical data, surgical procedures and treatment of 1 stercoral ileus patient admitted to our hospital in May 2012 were retrospectively analyzed with the related literature reviewed. Results The patient had no response to conventional treatment after admission and thus underwent laparoscopy-assisted exploration with the bezoar removed under general anesthesia. However, the patient received abdominal laparotomy on day 23 after admission due to the recurrence of ileus 16 days after operation. The gastrointestinal function of the patient was recovered 3 days after operation. The patient had solid food 9 days after operation and was discharged 13 days after opera tion without complications. Conclusion Eating guava may be the major cause of stercoral ileus in Hainan Province, attention should thus be paid to its surgical procedure and complications.