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术后早期炎性肠梗阻诊治体会 被引量:2

Experience of diagnosis and treatment of early postoperative inflammatory ileus
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摘要 目的探讨术后早期炎性肠梗阻患者应用手术治疗以及非手术治疗的效果,并进行比较和分析。方法对2010年1月~2012年1月于本院普外科术后发现炎性肠梗阻的患者73例,进行回顾性分析,其中手术治疗患者34例为OG组,采用非手术治疗39例为TG组,比较两组患者治疗效果。结果 TG组经非手术治疗后痊愈例数为36例,治愈率为92.31%,平均治疗时间为(15.6±3.3)d,6个月内肠梗阻复发2次患者2例,大于2次患者1例;OG组经手术治疗后痊愈例数为29例,治愈率为85.29%,平均治疗时间为(32.7±6.4)d,6个月内肠梗阻复发2次患者1例,大于2次患者4例。比较两组治愈率差异有统计学意义(P〈0.05)。结论术后早期炎性肠梗阻对采取非手术方法治疗,临床效果显著,应予推广。 Objective To compare and analysis the effect of surgical treatment and non-surgical treatment of early postoperative inflammatory ileus in EPII patients. Methods Retrospective analysis was conducted on clinical data of 73 cases of early postoperative inflammatory ileus patients who received general surgery in our hospital from January 2010 to January 2012. OG group was composed of 34 surgical treatment patients and TG group was composed of 39 non-surgical treatment patients, then the therapeutic effect of two groups was compared. Results The recovered cases of TG group with non-surgical treatment were 36, the cure rate was 92.31%, and the average length of treatment was (15.6±3.3) d, the cases of recurrence times equal to 2 of ileus in 6 months were 2, and more than 2 times were 1. Meantime, the recovered cases of OG group with surgical treatment were 29, the cure rate was 85.29%, and the average length of treatment was (32.7±6.4) d, the cases of recurrence times equal to 2 of ileus in 6 months were 1, and more than 2 times were 4, compared with the TG group, there was an obvious difference in cure rate(P 0.05). Conclusion The method of non-surgical treatment of early postoperative inflammatory ileus has a remarkable clinical effect, and should be promoted in future.
作者 罗贤良
出处 《中国当代医药》 2012年第26期46-47,共2页 China Modern Medicine
关键词 炎性肠梗阻 术后早期 疗效 治疗 Inflammatory ileus Early postoperative Curative effect Treatment
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