中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
21期
44-45
,共2页
腹部手术%肠梗阻%非手术治疗
腹部手術%腸梗阻%非手術治療
복부수술%장경조%비수술치료
Abdominal operation%Intestinal obstruction%Non-operative Treatment
目的：探讨腹部手术后肠梗阻特点，分析非手术治疗可行性、适应证。方法对2008年2月-2014年8月收治非手术方法治疗腹部手术后肠梗阻患者264例，成功者纳入成功组（n=214）、失败者纳入失败组（n=50），进行因素分析。结果年龄≥60岁、恶性疾病、2周内无改善、腹痛加剧、胃肠减压积气无变化成为保守治疗失败独立风险因素（P<0.05）；6个月，复发率8.15%（15/184）。结论高龄、恶性疾病、早期无疗效者失败风险较高，成功者应做好随访。
目的：探討腹部手術後腸梗阻特點，分析非手術治療可行性、適應證。方法對2008年2月-2014年8月收治非手術方法治療腹部手術後腸梗阻患者264例，成功者納入成功組（n=214）、失敗者納入失敗組（n=50），進行因素分析。結果年齡≥60歲、噁性疾病、2週內無改善、腹痛加劇、胃腸減壓積氣無變化成為保守治療失敗獨立風險因素（P<0.05）；6箇月，複髮率8.15%（15/184）。結論高齡、噁性疾病、早期無療效者失敗風險較高，成功者應做好隨訪。
목적：탐토복부수술후장경조특점，분석비수술치료가행성、괄응증。방법대2008년2월-2014년8월수치비수술방법치료복부수술후장경조환자264례，성공자납입성공조（n=214）、실패자납입실패조（n=50），진행인소분석。결과년령≥60세、악성질병、2주내무개선、복통가극、위장감압적기무변화성위보수치료실패독립풍험인소（P<0.05）；6개월，복발솔8.15%（15/184）。결론고령、악성질병、조기무료효자실패풍험교고，성공자응주호수방。
Objective To investigate the characteristics of intestinal obstruction and analyze the feasibility, indications of its non-operative treatment. Methods 264 patients who were cured or were not by non-operative treatment for intestinal obstruction after abdominal operation performed in our hospital during February 2008 and August 2014 were assigned to successful group (n=214) and failure group (n=50), the factors influencing the curative effect were analyzed. Results Independent risk factors which can lead to failed conservative treatment included ≥60 years old, malignant diseases, no improvement within two weeks, aggravation of ab-dominal pain, unchanged pneumatosis after gastrointestinal decompression(P<0.05);six months after treatment, the recurrence rate were 8.15%(15/184). Conclusion Elderly, malignant disease, failed early treatment can increase the risk of failure and follow-up should be given to those who were treated effectively.
