临床科学长肠管夹板确实可以防止术后粘合剂复发小肠梗阻例研究1591-s2 main.pdfVIP

TheAmericanJournalofSurgery(2015)209,289-296

ClinicalScience

Longintestinaltubesplintingreallyprevents

recurrenceofpostoperativeadhesivesmall

bowelobstruction:astudyof1,071cases

MinLi,M.D.,JiananRen,M.D.,Ph.D.,WeimingZhu,M.D.,Ph.D.,

YoushengLi,M.D.,Ph.D.,YunzhaoZhao,M.D.,JunJiang,M.D.,

JieshouLi,M.D.,Ph.D.,NingLi,M.D.,Ph.D.*

DepartmentofGeneralSurgery,JinlingHospital,MedicineSchoolofNanjingUniversity,305East

ZhongshanRoanjing,JiangsuProvince,

KEYWORDS:

Splinting;BACKGROUND:Theaimofthisstudywastoidentifyiflongintestinaltubesplintingcouldreally

Longintestinaltube;decreaserecurrentadhesivesmallbowelobstruction(ASBO)bysurvivalanalysis.

Recurrence;METHODS:Aretrospectiveanalysiswasperformedon1,071patientswhounderwentoperationfor

AdhesivesmallbowelpostoperativeASBObetweenDecember2001and2008atourunit.Accordingtotheriskfactorsof

obstructionrecurrentASBO,allpatientsweredividedintohigh-riskrecurrencegroupandlow-riskrecurrence

groupregardlessofwhethertheyreceivedtubesplinting.Theefficiencyoftubesplintingforreducing

recurrenceineachgroupwasinvestigated,respectively.

RESULTS:TheriskofrecurrentASBOincreasedinthepatientswithperioperativebloodlossof

300mLormore.Inthehigh-riskrecurrencegroup,tubesplintingcanreducerecurrence(P5.045).

Inthelow-riskrecurrencegroup,tubesplintinghadnoinfluenceonrecurrence(P5.91).

CONCLUSIONS:Longintestinaltubesplintingcanpreventrecurrence