CAJ | 학술논문

目的：研究阐述非手术无创性X线下治疗粘连性小肠梗阻的新方法，提高粘连性肠梗阻的疗效。方法93例粘连性小肠不全梗阻分为2组，其中治疗组49例实施X线下松解小肠粘连，还纳肠袢间疝等方法，对照组44例实施住院保守治疗，治疗粘连性不全性小肠梗阻，两组患者年龄、性别、病史、病程、X线表现等具有可比性。结果治疗组49例，治愈40例，治愈率81．6%，平均住院0．3 d，治疗平均用时3．3 h；对照组44例，治愈37例，治愈率84．1%，平均住院时间7．636 d，治疗平均用时183．26 h；结论X 线下小肠粘连松解术、肠袢间疝还纳术治疗粘连性不全性小肠梗阻的效果优于住院保守治疗。
목적：연구천술비수술무창성X선하치료점련성소장경조적신방법，제고점련성장경조적료효。방법93례점련성소장불전경조분위2조，기중치료조49례실시X선하송해소장점련，환납장번간산등방법，대조조44례실시주원보수치료，치료점련성불전성소장경조，량조환자년령、성별、병사、병정、X선표현등구유가비성。결과치료조49례，치유40례，치유솔81．6%，평균주원0．3 d，치료평균용시3．3 h；대조조44례，치유37례，치유솔84．1%，평균주원시간7．636 d，치료평균용시183．26 h；결론X 선하소장점련송해술、장번간산환납술치료점련성불전성소장경조적효과우우주원보수치료。
Objective To investigate the clinical efficacy of fluoroscopy-guided intestinal adhesion lysis, as a new non-surgical method, in treating incomplete adhesive small intestinal obstruction in order to improve the therapeutic results of adhesive intestinal obstruction. Methods A total of 93 patients with incomplete adhesive small intestinal obstruction were enrolled in this study. The patients were divided into study group (n=49) and control group (n=44). Fluoroscopy-guided intestinal adhesion lysis together with restoration of inter-intestinal loop enterocele was carried out for the patients of the study group , while traditional conservative surgical therapy was employed for the patients of the control group. The study group was comparable with the control group in patients’ age, gender, medical history, disease course, X-ray findings, etc. Results Of the 49 cases in the study group, complete cure was obtained in 40 with a cure rate of 81.6%. The mean hospitalization day was 0.3 day, and the average operation time was 3.25 hours. Among the 44 patients in the control group, complete cure was obtained in 37 with a cure rate of 84.1%. The mean hospitalization day was 7.6 days, and the average therapeutic time was 183.26 hours. Conclusion For the treatment of incomplete adhesive small intestinal obstruction , the therapeutic efficacy of fluoroscopy-guided intestinal adhesion lysis together with restoration of inter-intestinal loop enterocele is better than that of traditional conservative surgical therapy.