摘要
目的对我院收治的19例消化道结石合并肠梗阻患者的临床表现、病理特点以及手术治疗效果等进行分析与探讨。方法选取我院自1995年至2013年间收治的19例胃结石及小肠结石合并肠梗阻患者的临床资料分析。结果 19例均手术治疗,术中见空肠有粪石引起梗阻7例,12例在回肠部位有粪石导致梗阻,其中有两枚粪石的4例,6例在肠道减压时吸出较多小粪石,合并一期胃切开取石的12例,7例术后胃镜下碎石取石。结论消化道结石致肠梗阻在急诊外科较少见,在遇到肠梗阻病例时需详细询问病史,结合消化道造影及CT胃镜等检查,诊断并不困难。胃结石合并小肠结石的临床表现与结石的大小,部位有关,多表现急性肠梗阻。如诊断明确,早期手术治疗是最佳的治疗方案,预后良好。
Objective Analysis and discussion to the hospital treated 19 cases of patients with digestive tract calculi complicated with intestinal obstruction clinical manifestations, pathological features and operation treatment. Methods The analysis of our hospital from 1995 to 2013 of 19 patients treated between stones in the stomach and small intestine stones complicated with intestinal obstruction clinical data. Results Treatment of 19 cases operation, intraoperative see jejunum with bezoar causing obstruction in 7 cases, 12 cases in the ileum with bezoar causing obstruction, including 4 cases of two pieces of bezoar, 6 cases in the intestinal decompression suction more small fecalith, combined with a gastric incision 12 cases of stone, 7 cases postoperative endoscopic lithotripsy. Conclusion The digestive tract calculi obstruction in the emergency surgery is rare, in the face of intestinal obstruction were required to ask for details of the history, combined with gastrointestinal radiography and CT gastroscope examination, diagnosis is not dififcult. Clinical manifestations and stone stomach stones with small stone size, location, multiple manifestations of acute intestinal obstruction. If the diagnosis, early operation treatment is the optimal treatment, prognosis is good.
出处
《中国医药指南》
2013年第33期40-41,共2页
Guide of China Medicine
关键词
胃结石
小肠结石
肠梗阻
Stones in the stomach
Intestinal stones
Obstruction
