CAJ | 학술논문

目的：对我院收治的19例消化道结石合并肠梗阻患者的临床表现、病理特点以及手术治疗效果等进行分析与探讨。方法选取我院自1995年至2013年间收治的19例胃结石及小肠结石合并肠梗阻患者的临床资料分析。结果19例均手术治疗，术中见空肠有粪石引起梗阻7例，12例在回肠部位有粪石导致梗阻，其中有两枚粪石的4例，6例在肠道减压时吸出较多小粪石，合并一期胃切开取石的12例，7例术后胃镜下碎石取石。结论消化道结石致肠梗阻在急诊外科较少见，在遇到肠梗阻病例时需详细询问病史，结合消化道造影及CT胃镜等检查，诊断并不困难。胃结石合并小肠结石的临床表现与结石的大小，部位有关，多表现急性肠梗阻。如诊断明确，早期手术治疗是最佳的治疗方案，预后良好。
목적：대아원수치적19례소화도결석합병장경조환자적림상표현、병리특점이급수술치료효과등진행분석여탐토。방법선취아원자1995년지2013년간수치적19례위결석급소장결석합병장경조환자적림상자료분석。결과19례균수술치료，술중견공장유분석인기경조7례，12례재회장부위유분석도치경조，기중유량매분석적4례，6례재장도감압시흡출교다소분석，합병일기위절개취석적12례，7례술후위경하쇄석취석。결론소화도결석치장경조재급진외과교소견，재우도장경조병례시수상세순문병사，결합소화도조영급CT위경등검사，진단병불곤난。위결석합병소장결석적림상표현여결석적대소，부위유관，다표현급성장경조。여진단명학，조기수술치료시최가적치료방안，예후량호。
Objective Analysis and discussion to the hospital treated 19 cases of patients with digestive tract calculi complicated with intestinal obstruction clinical manifestations, pathological features and operation treatment. Methods The analysis of our hospital from 1995 to 2013 of 19 patients treated between stones in the stomach and small intestine stones complicated with intestinal obstruction clinical data. Results Treatment of 19 cases operation, intraoperative see jejunum with bezoar causing obstruction in 7 cases, 12 cases in the ileum with bezoar causing obstruction, including 4 cases of two pieces of bezoar, 6 cases in the intestinal decompression suction more small fecalith, combined with a gastric incision 12 cases of stone, 7 cases postoperative endoscopic lithotripsy. Conclusion The digestive tract calculi obstruction in the emergency surgery is rare, in the face of intestinal obstruction were required to ask for details of the history, combined with gastrointestinal radiography and CT gastroscope examination, diagnosis is not dififcult. Clinical manifestations and stone stomach stones with small stone size, location, multiple manifestations of acute intestinal obstruction. If the diagnosis, early operation treatment is the optimal treatment, prognosis is good.