CAJ | 학술논문

目的探讨影响粘连性小肠梗阻远期疗效的危险因素.方法对218例粘连性小肠梗阻患者进行长期随访及回顾性分析.结果 218例患者住院235例次,手术治疗192例次(81.7％),保守治疗43例次(18.3％).手术组平均缓解时间为65.7个月,5年累积复发率19.0％；保守组平均缓解时间50.4个月,5年累积复发率34.0％.组间差异具有统计学意义(P＜0.05).结论粘连性小肠梗阻的远期疗效与治疗前手术部位及手术次数、末次手术至本次发病入院的时间等有关.未发现其他因素对肠梗阻复发有影响.手术治疗较保守治疗更能减少肠梗阻的复发.
목적 탐토영향점련성소장경조원기료효적위험인소.방법 대218례점련성소장경조환자진행장기수방급회고성분석.결과 218례환자주원235례차,수술치료192례차(81.7％),보수치료43례차(18.3％).수술조평균완해시간위65.7개월,5년루적복발솔19.0％；보수조평균완해시간50.4개월,5년루적복발솔34.0％.조간차이구유통계학의의(P＜0.05).결론 점련성소장경조적원기료효여치료전수술부위급수술차수、말차수술지본차발병입원적시간등유관.미발현기타인소대장경조복발유영향.수술치료교보수치료경능감소장경조적복발.
Objective To explore the risk factors of adhesive small bowel obstruction for the influence of the long-term therapeutic effects.Methods 218 case of adhesive small bowel obstruction in patients were treeted with a long follow-up and retrospective analysis.Results Among the 218 admissions in 235 patients,192 admissions (81.7.％) were surgical treated and 43 admissions(18.3％) were performed conservative treatment.The mean recovery time was 65.7 months and the accumulative incidence of surgical recurrence in 5 years was 19.0％ in surgical group and those in conservative group were 50.4 months and 34.0％ respectively.There was significant difference between two groups (P ＜ 0.05).Conclusion The long-term efficacy of risk factors was related to the treatment before the operation site and times,the last operation to the incidence of admissions.No other independent risk factor of recurrence was found.Surgical treatment serves as a better way in the prevention of later recurrences in patients with adhesive intestinal obstruction under certain conditions.