摘要
目的探讨妇科术后早期炎性肠梗阻的临床特点和治疗方法。方法对2011年3月-2013年12月天津市中心妇产科医院收治的妇科手术后早期炎性肠梗阻19例患者的临床资料进行回顾性分析。病例涉及宫颈癌6例,子宫内膜癌6例,卵巢癌3例,宫颈原位癌及CINⅢ2例,子宫肌瘤1例,卵巢良性肿瘤1例。结果 19例患者中,妇科恶性肿瘤15例,良性肿瘤4例,其中18例患者经严格禁食水、积极胃肠减压、合理使用抗生素、营养支持、中药灌肠等治疗后缓解,1例转院行再次手术治疗,术后无严重并发症,治愈出院。结论妇科肿瘤术后早期炎性肠梗阻多发生于术后2周内,盆腔粘连或手术操作范围大、腹腔内创面广、低蛋白血症等为该病主要原因。妇科医生应当提高对该并发症的认识,保守治疗可以达到良好的效果。
Objective To investigate the clinical characteristics and treatment of early postoperative inflammatory intestinal obstruction in gynecology department. Methods The clinical data of 19 patients of gynecologic tumor early postoperative inflammatory intestinal obstruction in Tianjin Central Obstetrics and Gynecology Hospital from March 2011 to December 2013 were analyzed retrospectively. These cases referred to 6 cases of cervical cancer,6 cases of endometrial cancer,3 cases of ovarian cancer,2 cases of cervical carcinoma in situ and CIN III,1 case of uterus myoma and 1 case of benign ovarian tumor. Results There are15 malignant gynecologic tumor cases,4 benign tumor cases in the 19 cases. 18 cases were relieved by conservative treatments of abrosia,gastrointestinal decompression,rational use of antibiotics,nutrition support and Chinese medicine enema. 1 case transferred to another hospital for surgery again,the patient was cured and discharged without serious complication after operation. Conclusion Early postoperative inflammatory intestinal obstruction of gynecologic tumor happens at 2 weeks postoperatively. The main causes of the disease are pelvic adhesion or large range of operation,extensive abdominal wound and hypoproteinemia. Doctors should improve the understanding of the complications of gynecologic oncologists,conservative treatment can achieve good effect.
出处
《中国城乡企业卫生》
2018年第1期16-18,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
肠梗阻
术后并发症
妇科肿瘤
Intestinal obstruction
Postoperative complications
Gynecological tumors
