摘要
目的:研究对比小肠内排列术与传统肠梗阻手术治疗广泛粘连性肠梗阻的疗效及安全性。方法:选取广泛粘连性肠梗阻患者中随机选取100例为研究对象,其中采取传统肠梗阻手术治疗的50例患者设为对照组,另50例接受小肠内排列术治疗的患者设为观察组,对比两组患者的手术相关指标、术后排气情况与并发症等。结果:对比观察组与对照组患者的手术时间,两组比较,差异有统计学意义(P<0.05);观察组患者术后排气时间、住院时间与对照组比较均显著缩短,差异有统计学意义(P<0.05)。观察组治疗总有效率为98.00%,与对照组(96.00%)相比,差异无统计学意义(P>0.05)。两组并发症发生率比较,观察组显著更低,差异有统计学意义(P<0.05)。通过6个月随访,观察组间断性腹胀、再发肠梗阻显著更低,差异有统计学意义(P<0.05)。结论:对广泛粘连性肠梗阻患者实施小肠内排列术治疗,具有显著的优势,与传统肠梗阻手术比较,操作更加简单,手术时间、手术出血量更少,并且安全可靠,减少术后并发症的发生,因此具有显著的临床推广应用价值。
Objective To study the efficacy and safety of small intestine surgery compared with the tr aditional arrangement of intestinal obstruction in treatment of extensive adhesi on intestinal obstruction.Method From widely in patients with adhesive intestinal obstruction,100 cases were randomly selected as the research object,which take the traditional surgical treatment of intestinal obstruction in 50 cases as control group,another 50 patients received intestinal plication for the patients as the observation group,compared two groups of pati ents with surgery related indicators,postoperative exhaust and complications.Results The observation group and the control group of patients with operation time,there were significant differences between the two(P<0.05);observation group of patients with pos to perative exhaust time,hospitalization time was shortened significantly compared with the control group(P<0.05).The total effective rate of observation group was 98.00%,and the control group(96.00%)compared with no significant dif ference(P>0.05).The complication rate between the two groups,the observation group was significantly lower(P<0.05).By 6 months of follow-up,the observation g roup of intermittent abdominal distension,recurrent intestinal obstruction was significantly lower(P<0.05).Conclusion The treatment of extensive adhesion intestinal obstruction in patients with the implementation of arrangement,has significant advantages compared with traditional surgery,intestinal obstruction,surgical operation more simple.Time,less bleeding,and safe and reliable,and reduce the incidence of postoperative complications,so it has significant clinical application value
作者
陈建名
王永利
CHEN Jian-ming;WANG Yong-li(The People′s Hospital of Pengan County,Nanchong 637800,China)
出处
《吉林医学》
CAS
2018年第4期620-622,共3页
Jilin Medical Journal
关键词
广泛粘连性肠梗阻
小肠内排列术
疗效
安全性
Extensive adhesion intestinal obstruct ion
Intestinal plication
Efficacy
Safety
