CAJ | 학술논문

目的：探讨腹部手术后粘连性肠梗阻的临床治疗效果。方法选择对我院2005年10月~2013年l0月共收治的120例腹部手术后粘连性肠梗阻患者的临床资料进行回顾性分析。结果经保守治疗86例症状消失治愈，34例症状无缓解或观察中病情加重而中转手术。单纯粘连松解31例，粘连分解+肠切除端端吻合4例。本组病例均治愈，术后发生切口感染5例，肺部感染l1例。结论预防粘连是解决粘连性肠梗阻的关键，手术后产生粘连是机体的保护性机制。
목적：탐토복부수술후점련성장경조적림상치료효과。방법선택대아원2005년10월~2013년l0월공수치적120례복부수술후점련성장경조환자적림상자료진행회고성분석。결과경보수치료86례증상소실치유，34례증상무완해혹관찰중병정가중이중전수술。단순점련송해31례，점련분해+장절제단단문합4례。본조병례균치유，술후발생절구감염5례，폐부감염l1례。결론예방점련시해결점련성장경조적관건，수술후산생점련시궤체적보호성궤제。
Objective To investigate the clinical ef ect of treatment of adhesive intestinal obstruction after abdominal operation. Methods The clinical data of patients with adhesive intestinal obstruction of 120 cases abdominal operation in our hospital from 2005 October to 2013 l0 months were analysed retrospectively. Results The 86 cases of conservative treatment to cure 34 patients symptoms disappeared, no relief of symptoms or observation of il ness and transit operation. Simple lysis of adhesions in 31 cases, adhesions decomposition + intestinal resection and end-to-end anastomosis in 4 cases. The patients were cured, incision infection occur ed in 5 cases, L1 patients with pulmonary infection. Conclusion The prevention of adhesion is the key to solve the adhesive intestinal obstruction after operation, the adhesion is the body's protective mechanisms.