摘要
目的探讨消化道疾病经腹开放手术后早期再手术的原因、预防及处理方法。方法对2001年1月至2011年10月收治的腹部外科再手术18例的临床资料进行回顾性分析。结果再手术的原因为腹腔内出血4例、粘连性肠梗阻3例、胃肠道瘘3例、切口感染2例、吻合口出血2例、切口裂开1例、腹腔感染1例、处置不当2例。18例再手术者均治愈。结论消化道手术后早期再手术原因大多与首次手术的失误及操作不当有关；提高首次手术质量是预防再手术的重要措施。
Objective To investigate the cause, prevention and treatment of recent reoperation after abdominal open surgery for digestive tract diseases. Methods The clinical data of 18 patients who underwent recent reoperation after gastrointestinal operation in our department during January 2001 and October 2011 were analyzed retrospectively. Results The reoperations were performed due to in- tra-abdominal hemorrhage in 4 cases,adhesive intestinal obstruction in 3 cases, gastrointestinal fistulas in 3 cases, incision infection in 2 cases, anastomotic bleeding in 2 cases, disruption of wound in 1 case, abdominal infection in I case, and improper treatment in 2 cases. Eighteen patients underwent reopera- tions,and all of them were cured. Conclusion The causes of recent reoperation after gastrointestinal operation are mostly due to failure and improper operation of first operation. To improve the quality of first operation was important for prevention of reoperation.
出处
《腹部外科》
2012年第1期11-13,共3页
Journal of Abdominal Surgery
关键词
胃肠道
再手术
出血
肠梗阻
感染
Gastrointestinal tract
Reoperation
Hemorrhage
Intestinal obstruction
Infection
