论文部分内容阅读
目的比较经鼻肠梗阻导管小肠内排列术与传统手术治疗急性肠梗阻的临床疗效。方法回顾性分析大连医科大学附属第一医院普外三科2005年4月至2010年12月手术治疗并获得随访的129例机械性小肠梗阻病人的临床资料。其中行经鼻肠梗阻导管小肠内排列术组41例,传统手术组88例。结果两组术后排气、排便时间、术后并发症发生率、术后病死率差异均无统计学意义(P>0.05);经鼻肠梗阻导管小肠内排列术组术后5年复发率为5.0%(2/40),明显低于传统手术组[18.8%(16/85),P<0.05],且复发时间(42.5±7.8)个月明显晚于传统手术组[(20.3±11.8)]个月(P<0.05)]。结论经鼻肠梗阻导管小肠内排列术防治肠梗阻复发效果良好。
Objective To compare the clinical efficacy of transnasal intestinal obstruction in small intestine and traditional surgery in the treatment of acute intestinal obstruction. Methods The clinical data of 129 patients with mechanical intestinal obstruction who underwent surgical treatment from April 2005 to December 2010 in the First Affiliated Hospital of Dalian Medical University were retrospectively analyzed. Among them, 41 cases were arranged in the small intestine via nasal obstruction, and 88 cases in the traditional operation group. Results There was no significant difference in postoperative exhaust, defecation time, postoperative complication rate and postoperative mortality between the two groups (P> 0.05). The 5-year recurrence rate of nasal intestinal obstruction Was significantly lower than that of the conventional surgery group (18.8% (16/85), P <0.05], and the recurrence time (42.5 ± 7.8) months was significantly later than that of the conventional surgery group (20.3 ± 11.8 )] Months (P <0.05)]. Conclusions Transnasal intestinal obstruction catheter arrangement within the small intestine to prevent recurrence of intestinal obstruction good.