CAJ | 학술논문

目的：探讨急性肠梗阻的病因学变迁及诊治。方法：回顾性分析5923例急性肠梗阻病例的诊治经过。结果：粘连性肠梗阻始终占据病因第一位，肿瘤性肠梗阻比例明显增加，嵌顿疝比例增加。肠梗阻患者平均年龄增长，手术率、治疗有效率提高，中西医结合非手术成功率降低。结论：腹腔粘连是引起肠梗阻的首要原因；复杂性肠梗阻数量增加，肠梗阻诊断、治疗方法不断改进，提高了疗效，改善了预后。
목적：탐토급성장경조적병인학변천급진치。방법：회고성분석5923례급성장경조병례적진치경과。결과：점련성장경조시종점거병인제일위，종류성장경조비례명현증가，감돈산비례증가。장경조환자평균년령증장，수술솔、치료유효솔제고，중서의결합비수술성공솔강저。결론：복강점련시인기장경조적수요원인；복잡성장경조수량증가，장경조진단、치료방법불단개진，제고료료효，개선료예후。
Objective: To study the etiology changes, diagnosis and treatment of acute intestinal obstruc-tion. Methods The diagnosis and treatment of 5923 cases of acute intestinal obstruction was retrospective an-alyzed. Results The proportion of adhesive intestinal obstruction is in the first place. The proportion of tumor intestinal obstruction increased obviously. The proportion of strangulated hernia increased. The average age in-creased. The operability and treatment efficiency increased. The success rate of nonoperative combination of Chi-nese Traditional and Western Medicine decreased. Conclusion Peritoneal adhesion was the first cause for in-testinal obstruction. The number of complex intestinal obstruction increased. Owing to the improvement of diagno-sis and treatment for intestinal obstruction, the treatment efficiency and prognosis of the disease improved as well.