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妇科手术后粘连性小肠梗阻 被引量:3

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摘要 目的 :评价粘连性小肠梗阻的发生与各种常见妇科手术之间的关系。方法 :回顾分析本院 1989~ 1999年所有证实为小肠梗阻的女性患者 ,分析其梗阻原因、类型、手术方式、方法。结果 :180例小肠梗阻女性患者中 ,粘连性肠梗阻 73例 ,其中 60例曾有腹部或盆腔手术史 ,其中 3 5例为妇科或产科手术 ,包括子宫切除术 2 2例 ,子宫附件手术 9例 ,子宫肌瘤切除术 2例 ,剖宫产分娩术 2例。与本院同期手术总数相比 ,以上各类手术术后粘连性小肠梗阻发生率依次为 1 67%、0 97%、0 82 %及 0 0 3 %。妇科手术与小肠梗阻发生间隔时间平均为 4年。结论 :妇科手术后肠粘连为小肠梗阻最常见原因之一 。
作者 徐艳
出处 《临床医学》 CAS 2003年第4期35-36,共2页 Clinical Medicine
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  • 1[1]Ratcliff JB, Kapernick P, Brooks GG, et al. Small bowel obstruction and previous gynecologic surgery. South Med J, 1983,76:1349~1350.
  • 2[2]Krebs HB, Goplerund DR. Mechanical intestinal obstruction in patients with gynecologic disease:a review of 368 patients. Am J Obstet Gynecol. 1987,157:577~583.
  • 3[3]Monk BJ, Berman ML, Montz FJ. Adhesions after extensive gynecologic surgery:clinical significance,etiology and prevention. Am J Obstet Gynecol, 1994,170:1398~1403.
  • 4[4]Ellis H. The etiology of postoperative abdominal adhesions. Br J Surg,1992,50:10~16.
  • 5[5]Stricker B, Blanco J, Fox HE. The gynecologic contribution to intestinal obstruction in farnales. J Am Coll Surg, 1994,178: 617~620.
  • 6[6]Buckman RF,Buckman PD, Hufnagel HV, et al. A phisiologic basis for the adhesion-free healing of deperitonealized surfaces. J Surg Res. 1996,21:67~76.
  • 7[7]Ellis H,heddle R. Does the peritoneum need to be closed at laparotomy?Br J Surg,1997,64:733~736.
  • 8[8]Tulandi T,Hum HS, Gelfand MM. Closure of laoarotomy incisions with or without peritoneal suturing and second-look laparoscopy. Am J ObstetGynecol, 1988,158:536~537.
  • 9[9]Tulandi T, Murray C,Guralnick M. Adhesion formation and reproductive outcome after myomectomy and second-look laparoscopy. Obstet Gynecol. 1993,82:123~125.

同被引文献20

  • 1张晓鹏,孙应实.影像技术在胃肠外科中的应用[J].中国实用外科杂志,2004,24(11):656-657. 被引量:13
  • 2杨文修,金正根,许文胜,倪红艳,钟朝凤,田在善.大承气汤和大黄对豚鼠结肠带平滑肌细胞电活动的影响[J].中国中西医结合杂志,1993,13(1):33-35. 被引量:73
  • 3廖文燕,卢焕霞,徐彩生.下腹部手术史盆腹腔粘连妇科腹腔镜手术86例分析[J].中国内镜杂志,2005,11(6):578-580. 被引量:8
  • 4Miller K, Holbling N, Hutter J, et al. Laparoscopic eholecystectomy for patients who have had previous abdominal surgery. Surg Endosc, 1993,7:440.
  • 5吴阶平 裘法祖.黄家驷外科学(第6版)[M].北京:人民卫生出版社,2002.915.
  • 6Diamond MP. Prevention of adhesion.Operative Gynecology. philadephia:WB Saunders, 1995 : 147
  • 7Krebs HB,Goplerund DR. Mechamcal intestinal obstruction in patients with gynecologic disease:a review of 368 patients. Am J Obstet Gynecol 1987 ; 157:577
  • 8Monk B J, Berman ML, Montz FJ.Adhesions after extensive gyne-cologic surgery:clinical significance,etiology and prevention. Am J Obstet Gynecol 1994 ; 170:1396
  • 9Mucha P Jr Small intestinal ostruction.Surg Clin North Am 1987;67 (3):597
  • 10Chen SC, Lin FY, Lee PH,et al.Water soluble contrast study predicts the need for early surgery in adhesive small bowEl obstruction. Br J Surg 1998;85(12):1692

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