摘要
目的评价肠排列术在治疗小儿外科中粘连性肠梗阻的应用选择和临床疗效。方法回顾性分析2005年至2011年73例粘连性肠梗阻患儿行肠排列术的临床资料。结果73例患儿中69例有开腹手术病史，其余4例为肠茧症。全组均行肠粘连松解及肠排列术，其中肠外排列2例，肠内排列71例。70例康复出院，死亡3例，病死率为4．1％，包括术后肠瘘1例，发生率为1．3％。62例随访2-6年，远期梗阻复发4例，复发率为5．4％。结论肠排列术是治疗小儿腹腔广泛严重粘连的有效手段，术中细致轻柔的操作以及术后抗感染和支持治疗尤为重要。
Objective To evaluate the clinical experience and efficacy of internal intestinal splinting for intestinal obstruction due to massive adhesion in pediatric surgery. Methods From 2005 to 2011 ,the clinical data of 73 patients with massive adhesive ileus who underwent internal intestinal splin- ting were analyzed retrospectively. Results Among the 73 patients, 70 cases recovered smoothly with no postoperative complications. Three cases （4. 1% ） of the patients died, including 1 case（ 1.3% ） of in- testinal fistula. Sixty-two cases were followed up from 2 to 6 years, and intestinal obstruction reoccurred in 4 cases （5.4%）. Conclusions Internal intestinal splinting is an effective management in treating re- current postoperative massive adhesive ileus. Intraoperative meticulous gentle operation and postoperative anti-infection treatment and supportive treatment is especially important.
出处
《中国实用医刊》
2012年第16期29-30,共2页
Chinese Journal of Practical Medicine
关键词
肠梗阻
粘连
肠排列术
内支撑管
小儿外科
Intestinal obstruction
Adhesion
Intestinal arrangement
Internal stenting tube
Pe-diatric surgery
