摘要
目的探讨植物粪石性小肠梗阻的诊治方法.方法回顾分析昆明医学院第二附属医院2005年2月至2011年2月收治的植物粪石性小肠梗阻21例病例资料.结果21例植物粪石性小肠梗阻.保守治疗15例,治愈5例(33.3%),无效者10例转入手术治疗,另有6例直接接受手术治疗,手术治疗治愈者15例(93.75%),与保守治疗组比较,手术治疗组疗效显著,差异有统计学意义(P<0.05).结论植物粪石性小肠梗阻行CT检查有助于诊断,经规范保守治疗48 h无缓解者,应积极手术治疗,手术治疗效果较佳.
Objective To investigate the diagnosis and treatment of small bowel obstruction induced by phytobezoar.Method The clinical data of 21 patients with small bowel obstruction induced by phytobezoar in our hospital from February 2005 to February 2011 were analysed retrospectively.Results The 21 cases of small bowel obstruction induced by phytobezoar were diagnosed by medical history,clinical symptoms and physical sign,abdominal anteroposterior erect view,B-ultrasonic tomography,computerized tomography.15 patients were treated conservatively,and 5 patients among them were cured,10 patients who were not cured were performed surgical therapy.6 patients were directly performed surgical therapy,and the 15 patients were cured by surgical therapy.There was statistically significant difference in the recovery rate between conservative treatment and surgical therapy（P0.05）.Conclusions Small bowel obstruction induced by phytobezoar may be diagnosed by CT.The patients with the disease,who were not cured 48 h after conservative therapy should be performed surgical therapy.The surgical therapeutic effect is better.
出处
《昆明医学院学报》
2011年第11期103-105,共3页
Journal of Kunming Medical College
关键词
植物粪石
小肠梗阻
诊断
治疗
手术
Phytobezoar
Small bowel obstruction
Diagnosis
Treatment
Operation
