摘要
目的探讨严重结核性腹膜炎合并完全性小肠梗阻的治疗方法。方法对解放军总医院第二附属医院1996年6月～2005年6月收治的44例患者进行回顾性分析。结果44例患者均为严重结核性腹膜炎合并小肠梗阻，其中术前确诊36例，8例为术后证实。全组病例均经内科治疗无效后行剖腹探查、全小肠分离排列术，43例术后肠梗阻症状消失，无复发，1例死亡。其中2例术后合并肠瘘，1例治愈，1例死亡。结论结核性腹膜炎合并完全性小肠梗阻内科治疗多无效，而全小肠分离排列术则是一种有效的治疗方法，术前术后抗结核治疗和营养支持治疗是减少术后并发症、彻底治愈的关键。
Objective To evaluate the technique of treating severe tuberculous peritonitis complicated with intestinal obstruction. Method Clinical data covering 44 cases from Jan. 1994 to Dec. 2004 were analyzed retrospectively. All the 44 cases were suffering from severe tuberculous peritonitis complicated with intestinal obstruction for a long time. Among them 36 cases were diagnosed preoperatively and 8 cases were confirmed post-operatively. All the patients underwent laparotomy, and all intestinal adhesions were divided, then the intestine loops were regularly aligned. Result 43 cases were cured, 2 patients developed postoperative intestinal fistula, and one patient died. Conclusion No curative effect could be obtained if medical treatment only was given for tuberculous peritonitis complicated with complete intestinal obstruction. The present surgical technique offers a better chance to relieve intestinal obstruction as a reuh of tuberculous peritonitis.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
2006年第12期1199-1200,共2页
Medical Journal of Chinese People's Liberation Army
关键词
结核
腹膜
肠梗阻
外科手术
tuberculosis, peritoneal
intestinal obstruction
surgical procedures, operative
