传统开腹手术治疗急性粘连性肠梗阻的临床效果和安全性

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (29 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨传统开腹手术治疗急性粘连性肠梗阻的临床效果和安全性。方法选取2018年1月—2020年1月于海城市中心医院进行诊治的122 例急性粘连性肠梗阻患者作为研究对象，按照随机数字表法将其分为两组，每组各61 例。对照组患者采取保守非手术治疗，实验组患者则采用传统开腹手术治疗。对比分析两组患者的临床治疗效果、相关症状缓解时间、康复时间及并发症发生情况。结果在治疗总有效率方面，实验组高于对照组（93.44%vs.77.05%），差异有统计学意义（P＜0.05）。在并发症总发生率方面，实验组低于对照组（6.56%vs.19.67%），差异有统计学意义（P＜0.05）。实验组患者的相关症状缓解时间、康复时间均短于对照组，差异有统计学意义（P＜0.05）。结论采用传统开腹手术对急性粘连性肠梗阻进行治疗，其临床治疗效果显著，安全性较高，可缩短患者临床症状缓解时间及康复时间，降低并发症发生率，促进患者身体机能恢复，从而有效提升患者的生活质量，在今后的临床工作中更具推广应用价值，应优先进行考虑。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	安军

关键词 ：传统开腹手术治疗, 保守治疗, 急性粘连性肠梗阻, 临床效果, 安全性

Abstract：Objective To study the clinical effect and safety of traditional open surgery in the treatment of acute adhesive intestinal obstruction. Methods A total of 122 patients with acute adhesive intestinal obstruction who were treated in Haicheng Central Hospital from January 2018 to January 2020 were selected as the research objects. The subjects were divided into two groups according to the random number table method, with 61 cases in each group. Patients in the control group were treated with conservative non-surgical method, while patients in the experimental group were treated with traditional open surgery. The clinical treatment effect, remission time of related symptoms, recovery time and incidence of complications between the two groups were compared and analyzed. Results The total effective rate of treatment in the experimental group was higher than that in the control group (93.44% vs. 77.05%), and the difference was statistically significant (P＜0.05). The total incidence of complications in the experimental group was lower than that in the control group (6.56% vs. 19.67%), the difference was statistically significant (P＜0.05). The remission time of related symptoms and recovery time in the experimental group were shorter than those in the control group, and the differences were statistically significant (P＜0.05). Conclusion Traditional open surgery for the treatment of acute adhesive intestinal obstruction, its clinical treatment effect is significant, with high safety, can shorten the remission time of clinical symptoms and recovery time of patients, reduce the incidence of complications, promote the recovery of patients′body function, thereby effectively improving the quality of life of patients, which has more promotion and application value in the future clinical work, and should be given priority.

Key words： Traditional open surgery Conservative treatment Acute adhesive intestinal obstruction Clinical effect;Safety

收稿日期: 2020-10-28

引用本文:

安军. 传统开腹手术治疗急性粘连性肠梗阻的临床效果和安全性[J]. 中国当代医药, 2021, 28(19): 62-64.
AN Jun. Clinical effect and safety of traditional open surgery in the treatment of acute adhesive intestinal obstruction. 中国当代医药, 2021, 28(19): 62-64.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I19/62

[1]	朱敏，许东奎，岳亮，等.腹腔镜肠粘连松解术与开腹手术治疗粘连性肠梗阻的Meta 分析[J].解放军医学杂志，2018，43（2）：140-148.
[2]	董太平.透明质酸钠辅助腹腔镜手术治疗粘连性肠梗阻的疗效及对血清DAO 活性、MDA 的影响[J].中国全科医学，2018，21（Z1）：107-108.[3]张帅，徐靖，石磊，等.腹腔镜联合肠梗阻导管治疗复杂性粘连性肠梗阻的可行性分析[J].中国中西医结合外科杂志，2018，24（1）：54-57.
[4]	曾亮，梁仁章，苏泽礼，等.腹腔镜微创手术治疗小儿坏疽穿孔性阑尾炎的临床应用[J].宁夏医科大学学报，2018，40（10）：1195-1197.
[5]	胡琛，朱宣进，黄勇.腹部手术史对腹腔镜结直肠癌手术影响的回顾性研究[J].腹部外科，2018，31（4）：249-252.
[6]	王慧香，孙伟，韩红雨，等.妇科手术后肠梗阻发生的危险因素分析[J].现代消化及介入诊疗，2018，23（A1）：50-51.
[7]	戴晓冬，黄鹤光，陈燕昌，等.腹腔镜联合开腹补片修补术治疗腹壁切口疝的临床疗效[J].中华消化外科杂志，2018，17（11）：1090-1094.
[8]	温泽霖，简斌，吴帅，等.免气腹腹腔镜阑尾切除术在老年患者中的临床应用[J].局解手术学杂志，2018，27（11）：792-796.
[9]	Furuke H，Komatsu S，Ikeda J，et al.Self-expandable Metallic Stents Contribute to Reducing Perioperative Complications in Colorectal Cancer Patients with Acute Obstruction[J].Anticancer Res，2018，38（3）：1749-1753.
[10]	吴强，柴成伟，李乐，等.腹腔镜在婴幼儿先天性十二指肠狭窄治疗中的应用[J].中华胃肠外科杂志，2018，21（1）：86-87.
[11]	黄寿奖，陈俊杰，吕成杰，等.腹腔镜手术治疗新生儿肠旋转不良的并发症分析[J].浙江大学学报（医学版），2018，47（3）：278-282.
[12]	张士松，武玉睿，刘红真，等.复杂型先天性肠闭锁患儿治疗体会[J].浙江大学学报（医学版），2018，47（3）：255-260.
[13]	付正伟，王丽霞，张振宇，等.盆底腹膜重建在3D 腹腔镜辅助直肠前切除术中的价值[J].中华腔镜外科杂志（电子版），2018，11（2）：94-97.
[14]	杨国华，秦长江，刘培杰.腹腔镜联合同步新辅助放化疗治疗中低位局部进展期直肠癌的疗效观察[J].腹腔镜外科杂志，2018，23（5）：353-356.
[15]	Yamazato Y，Kosuga T，Ichikawa D，et al.A Case of Intestinal Obstruction Caused by a Bezoar after Pylous-Preserving Gastrectomy[J].Gan To Kagaku Ryoho，2017，44（12）：1269-1271.