研究胆石性肠梗阻患者外科治疗临床有效性.docVIP

研究胆石性肠梗阻患者外科治疗临床有效性 　　[摘要] 目的 研究外科治疗胆石性肠梗阻患者的临床有效性。方法 随机选取该院2014年3月―2015年3月收治的胆石性肠梗阻患者100例为研究对象，将所有患者随机分为2组，治疗组50例，对照组50例。治疗组采用外科治疗，对照组采用常规药物治疗与调养。观察比较2组疗效。结果 两组总有效率相比，实验组总有效率为96%，对照组总有效率为66%，治疗组比对照组约高30%。2组疗效对比，差异有统计学意义（P0.05），外科治疗方法优于常规药物疗法。结论 采用外科手术治疗胆石性肠梗阻患者，疗效显著，能有效减少并发症，保证患者生命安全，具有临床价值，值得广泛推广。 　　[关键词] 胆石性肠梗阻；外科治疗；临床分析 　　[中图分类号] R574.2 [文献标识码] A [文章编号] 1674-0742（2015）11（c）-0110-02 　　[Abstract] Objective To study the clinical efficacy of surgical treatment for patients with gallstone ileus. Methods 100 patients with gallstone ileus admitted to our hospital from March 2014 to March 2015 were selected as the research object and randomly divided into two groups with 50 in each one. The treatment group received surgical treatment， while the control group underwent conventional drug treatment and aftercare. The curative effect of the two groups were observed and compared. Results The total effective rate was compared between the two groups， and the result showed that it was 96% in the treatment group and 66% in the control group， and that the former was higher than the latter by about 30% with statistically significant difference， P0.05， which indicated that surgical treatment was superior to conventional drug therapy. Conclusion The clinical efficacy of surgical treatment for patients with gallstone ileus is remarkable： it can effectively reduce complication， ensure patients safety. Therefore this method has clinical value and is worthy of promotion. 　　[Key words] Gallstone intestinal obstruction； Surgical treatment； Clinical analysis 　　胆石性肠梗阻是肠道堵塞所致的肠梗阻，肠道堵塞是由于胆结石进入胆道后引起的。该病临床十分罕见，患病初期无明显症状，且呈间歇性发作，不是所有患者都能利用X线检查病况[1]。肠梗塞的临床症状主要有以下几种：急性或慢性肠梗塞，高位或低位肠梗塞，部分或完全肠梗塞，部分性梗塞症状较轻，主要会出现阵发性腹部绞痛。肠道受到较大近端肠管刺激会出现剧烈的肠蠕动，结石也会随着肠道蠕动下降，降低梗塞平面，从而出现肛门停止排气排便，腹部胀痛等病情变化[2]。该研究通过对该院2014年3月―2015年3月收治的100例胆石性肠梗阻患者的治疗方式进行研究，探究外科治疗对胆石性肠梗阻患者的疗效。取得了良好的效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　该研究随机选取的对象是2014年3月―2015年3月来该院诊治的胆石性肠梗阻患者22例，经检查，所有患者均符合胆石性肠梗阻临床诊断标准。将其随机分为2组，每组各患者11例，其中治疗组男8例，女3例，平均年龄