CAJ | 학술논문

目的：探讨肠梗阻的外科治疗时机与方法。方法：回顾性分析行手术治疗的112例肠梗阻患者临床资料。结果：在112例肠梗阻中，粘连性肠梗阻57例，肠道肿瘤性肠梗阻36例，嵌顿疝性肠梗阻9例，肠套叠6例，肠扭转2例，结肠粪便堵塞2例。外科治疗后108例治愈，3例好转，1例死亡。结论：肠粘连和肠道肿瘤引起的肠梗阻最为常见，应根据患者的具体病因、病情，选择恰当的手术时机和合理的手术治疗方法。
목적：탐토장경조적외과치료시궤여방법。방법：회고성분석행수술치료적112례장경조환자림상자료。결과：재112례장경조중，점련성장경조57례，장도종류성장경조36례，감돈산성장경조9례，장투첩6례，장뉴전2례，결장분편도새2례。외과치료후108례치유，3례호전，1례사망。결론：장점련화장도종류인기적장경조최위상견，응근거환자적구체병인、병정，선택흡당적수술시궤화합리적수술치료방법。
Objective:To investigate the operating occasion and surgical methods of intestinal obstruction. Meth-ods:The clinical data of 112 cases of intestinal obstruction who underwent surgery in our hospital were retrospectively analyzed. Results:Among 112 patients with intestinal obstruction, adhesive intestinal obstruction, intestinal obstruc-tion resulting from intestinal tumor, incarcerated intestinal obstruction, intussusception, volvulus and blockage of colon by feces account for 57, 36, 9, 6, 2 and 2 respectively. 108 patients were healed, 3 patients improved and one patient died. Conclusion:Intestinal adhesion and intestinal tumor are the most common etiologies of intestinal ob-struction. It is very important to select suitable operating occasion and take appropriate surgical procedure to treat in-testinal obstruction according to patients' etiology and condition.