探讨小肠内排列术与传统肠梗阻手术治疗广泛粘连性肠梗阻疗效观察.docVIP

探讨小肠内排列术与传统肠梗阻手术治疗广泛粘连性肠梗阻疗效观察 1北安市庆华医院164000; 2北安市第一人民医院164000 摘 要 目的研究分析小肠内排列术与传统肠梗阻手术治疗广泛 粘连性肠梗阻疗效。方法此次研究的对象是选取2004年1月年12月笔 者所在医院收治的广泛粘连性肠梗阻患者80例，将其临床资料进行回顾性分析， 并分为对照组与观察组，每组40例。对照组患者使用传统肠梗阻手术进行治疗， 观察组患者使用小肠内排列术进行治疗，对两组患者的治疗效果进行对比与分析。 结果观察组患者手术时间、术中出血量及肠管损伤率与对照组比较差异均无统 计学意义(Pgt;0.05)o对照组9例患者出现并发症，并发症发生率为22.5%, 观察组屮3例患者出现并发症，并发症发生率为7.5%,两组比较差异有统计学 意义(Plt;0.05)o观察组患者通气时间住院时间均明显低于对照组，住院费用 明显少于对照组，两组比较差异均有统计学意义(Plt;0.05)o结论小肠内排 列术在广泛粘连性肠梗阻治疗屮的应用，提高了患者的治疗效果，降低患者的复 发率，减轻患者及其家属的经济压力。 关键词 小肠内排列术传统肠梗阻手术广泛粘连性肠梗阻 [Abstract] Objective To study the curative effect of small intestinal alignment and traditional intestinal obstruction operation in the treatment of intestinal obstruction.Methods the subjects of this study are 80 patients with adhesive intestinal obstruction from January 2004 -2013 year in December in our hospital were retrospective an alysis, and divided in to con trol group and observati on group, 40 cases in each group.Patients in the control group were treated with conventional intestinal obstruction surgery, the observation group were treated with small bowel alignment, and the treatment effect of the two groups were compared and an alyzed.Results the operative time, blood loss and in testi nal in jury rate compared with the control group had no statistical significance (Pgt;0.05) .The control group of 9 patients with complications, the incidenee of complications was 22.5%, the observation group of 3 patients with complications, the incidence of complications was two, the difference between the 7.5% groups was statistically significant (Plt;0.05) .Observation group of patients were significantly lower than the control group, the hospitalization time was sign讦icantly less than the control group, the differenee between the two groups were statistically significant (Plt;0.05) .Conclusion the application of small intestinal alignment in the treatment of extensive adhesive intestinal obstruction, improve the treatment effect of patients, reduce the recurrence r