CAJ | 학술논문

目的：探讨术后粘连性肠梗阻的临床特点、诊断及治疗。方法收集我院普外科2011年12月~2013年11月收治的98例术后粘连性肠梗阻患者的临床资料并进行分析。结果98例中，保守治疗92例痊愈，痊愈率94%，6例中转手术治疗。98例中，既往上腹部手术史者29例，下腹部手术史69例。74例发生在冬春季节。结论术后粘连性肠梗阻患者多可通过保守治疗治愈；术后粘连性肠梗阻病例中，既往下腹部手术史者明显多于上腹部手术史者。冬春季节多发。
목적：탐토술후점련성장경조적림상특점、진단급치료。방법수집아원보외과2011년12월~2013년11월수치적98례술후점련성장경조환자적림상자료병진행분석。결과98례중，보수치료92례전유，전유솔94%，6례중전수술치료。98례중，기왕상복부수술사자29례，하복부수술사69례。74례발생재동춘계절。결론술후점련성장경조환자다가통과보수치료치유；술후점련성장경조병례중，기왕하복부수술사자명현다우상복부수술사자。동춘계절다발。
Objective To explore the clinical characteristics, diagnosis and treatment of postoperative adhesive intestinal obstruction. Methods Clinical data of 98 patients with postoperative adhesive intestinal obstruction who were admitted to the Department of General Surgery in Changqing district people's hospital from December 2011 to November 2013 were collected and analyzed. Results Among the 98 patients, 92 patients received a conservative treatment and recovered, with the recovery rate of 94%. 6 patients were transferred to surgery. Among the 98 patients, 29 patients had a history of upper abdominal surgery, and 69 patients had a history of lower abdominal surgery. 74 of the 98 patients had the disease during winter and spring. Conclusion Conservative treatment is generally effective in treating postoperative adhesive intestinal obstruction;the patients with postoperative adhesive intestinal obstruction who have a history of lower abdominal surgery are significantly more than those who have a history of upper abdominal surgery. Postoperative adhesive intestinal obstruction is commonly seen in winter and spring.