摘要
目的分析脊髓损伤患者腹部手术后粘连性肠梗阻的临床特点,总结临床诊治经验。方法对2008年8月~2013年8月在本院普外科接受诊治的35例脊髓损伤后粘连性肠梗阻患者的临床资料进行回顾性分析。结果 35例患者脊髓损伤后均因各种原因有过腹部手术史,结肠代膀胱术后22例,胆囊切除术后13例。其中胸10~腰1段脊髓损伤25例,颈段脊髓损伤10例。26例（74.3%）非手术治疗后痊愈,9例（25.7%）行手术治疗。结论脊髓损伤患者腹部手术后发生肠梗阻后,临床症状和体征不典型,早期诊断较困难,需结合影像学检查,对于非手术治疗效果不明显时,应及时行剖腹探查。
Objective To analyze the clinical characteristics of spinal cord injury patients with postoperative adhesive intestinal obstruction,and summarize the clinical experience of diagnosis and treatment.Methods 35 spinal cord injury patients with postoperative adhesive intestinal obstruction in our department from August 2008 to August 2013 were reviewed.Results All of them had a history of abdominal surgery for various reasons,22 cases received sigmoid colon pouch procedure and 13 cases received cholecystectomy.25 cases suffered T10-L1 spinal cord injury,10 cases suffered cervical spinal cord injury; 26 cases（74.3%） received non-operative treatment and recovered,9cases（25.7%） were transferred to surgery.Conclusion There is no typical clinical symptom and sign in spinal cord injury patients with adhesive intestinal obstruction after abdominal surgery,so early diagnosis is difficult,and the imaging examination is necessary.When non-operation treatment is not effective to these patients,surgical treatment should be timely carried out.
出处
《中国康复理论与实践》
CSCD
北大核心
2015年第8期982-985,共4页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脊髓损伤
粘连性肠梗阻
神经源性肠道功能障碍
spinal cord injury
adhesive intestinal obstruction
neurogenic bowel dysfunction
