摘要
目的:探讨肠梗阻病因的演变及诊治方法。方法:回顾性分析我科1990年11月～2006年8月收治的483例肠梗阻病例资料。结果:本组肠梗阻的病因居前3位的是肿瘤性44.1%,粘连性33.7%,嵌顿疝10.1%。483例患者中,手术治疗396例,术后出现并发症46例,死亡22例,病死率4.5%。结论:恶性肿瘤与肠粘连是最主要梗阻原因。加强术前诊断,选择积极的治疗方法是降低并发症和病死率的关键。
Objectlve ：To investigate the etiological evolution,diagnosis and treatment of intestinal obstruction. Methods：All 483 patients with intestinal obstruction from November 1990 to August 2006 in our hospital were analyzed retrospectively.Results：Neoplasm, adhesion and incarcerated hernia were the most common causes,which accounted for 44.1%,33.7% and 10.1% respectively.Among 483 patients,396 oases underwent operations. Complications occurred in 46 cases. Twenty-two cases died and the mortality rate was 4.5%. Conclusion：In recent 10 years,the etiology of intestinal obstruction in Shanghai is similar to developed countries.Mallgnant tumor and adhesion are the most common causes. It is the key to enhance preoperative diagnosis and choose the appropriate therapy for decreasing morbidity and mortality.
出处
《现代医药卫生》
2008年第16期2383-2385,共3页
Journal of Modern Medicine & Health
关键词
肠梗阻
病因
诊断
治疗
Intestinal obstruction
Etiology
Diagnosis
Treatment
