中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
31期
30-30,32
,共2页
粘连性肠梗阻%手术治疗%复发
粘連性腸梗阻%手術治療%複髮
점련성장경조%수술치료%복발
Adhesive intestinal obstruction%Surgical treatment%Recurrence
目的：探讨粘连性肠梗阻手术治疗时机与方法。方法：2010年1月-2013年1月收治粘连性肠梗阻患者60例，根据患者的自身情况选择适宜的方式进行治疗。结果：48例患者进行了肠切除吻合手术与开腹粘连松解手术，1年内复发6例。粘连松解肠排列手术12例，无复发现象，1例患者发生术后肠瘘。结论：肠切除吻合术与开腹粘连松解术是治疗粘连性肠梗阻的主要方式，肠排列术具有较低的复发率。腹腔镜下粘连松解术操作简单，需要注重适应证与禁忌证。上述3种治疗方法均值得推广与运用。
目的：探討粘連性腸梗阻手術治療時機與方法。方法：2010年1月-2013年1月收治粘連性腸梗阻患者60例，根據患者的自身情況選擇適宜的方式進行治療。結果：48例患者進行瞭腸切除吻閤手術與開腹粘連鬆解手術，1年內複髮6例。粘連鬆解腸排列手術12例，無複髮現象，1例患者髮生術後腸瘺。結論：腸切除吻閤術與開腹粘連鬆解術是治療粘連性腸梗阻的主要方式，腸排列術具有較低的複髮率。腹腔鏡下粘連鬆解術操作簡單，需要註重適應證與禁忌證。上述3種治療方法均值得推廣與運用。
목적：탐토점련성장경조수술치료시궤여방법。방법：2010년1월-2013년1월수치점련성장경조환자60례，근거환자적자신정황선택괄의적방식진행치료。결과：48례환자진행료장절제문합수술여개복점련송해수술，1년내복발6례。점련송해장배렬수술12례，무복발현상，1례환자발생술후장루。결론：장절제문합술여개복점련송해술시치료점련성장경조적주요방식，장배렬술구유교저적복발솔。복강경하점련송해술조작간단，수요주중괄응증여금기증。상술3충치료방법균치득추엄여운용。
Objective:To explore the surgery time and the method of surgery in the treatment of adhesive intestinal obstruction. Methods:60 cases of patients with adhesive intestinal obstruction from January 2010 to January 2013 were treated with the suitable methods according to the patients' condition.Results:48 cases were treated with intestinal resection and anastomosis and abodominal adhesiolysis,and 6 cases had recurrence in 1 year.12 cases were treated with intestinal adhesion lysis and intestinal arrangement surgery,with no recurrence,and 1 cases had postoperative intestinal fistula.Conclusions:Intestinal resection and anastomosis and abodominal adhesiolysis are the major treatment of adhesive intestinal obstruction,and intestinal arrangement had low recurrence rate.The operation of accretion-lysis under laparoscope is simple,and the indications and contraindications should be pay attention.The three kinds of treatment methods mentioned above are worthy of popularization and application.
