摘要
目的总结北京大学人民医院孕期及剖宫产术后肠梗阻病例，探讨发生肠梗阻的危险因素。方法1997年3月至2014年5月北京大学人民医院产科发生肠梗阻病例25例，2例孕期发生，23例为剖宫产术后。随机选取同期剖宫产而未发生肠梗阻者47例作为对照，应用SPSS11．5软件进行统计学分析。结果孕期肠梗阻2例，均发生在孕晚期，1例保守治疗成功足月顺娩；另1例妊娠38“周，对症治疗无效，行急诊剖宫产。剖宫产术后肠梗阻组病例与对照组相比，两组间年龄、孕周及体重指数、术中出血量及是否采用镇痛泵均无统计学差异，腹部手术史手术时间及术后住院时间，差别有统计学意义。且23例患者中3例合并盆腹腔严重感染脓肿存在，分别经二次手术引流及超声引导下穿刺后控制感染后好转。结论孕期发生肠梗阻保守治疗无效应积极手术；剖宫产术后发生肠梗阻后应警惕盆腹腔感染的存在。
Objective To retrospectively review intestinal obstruction cases in pregnancy and post cesarean section, and explore the high risks. Methods From March, 1997 to May, 2014, 25 cases of intestinal obstruction were diagnosed in our hospital, including 2 cases during pregnancy and 23 after cesarean section. 47 control subjects were randomly selected over the same period, with the same indications of cesarean section. Statistical analysis software SPSS11.5 was applied to make comparative analysis in patient age, gestational age, body mass index, operation time, bleeding volume, postoperative analgesia, hospitalized duration of the two groups. Results Both of the two pregnancy patients were diagnosed intestinal obstruction in the third trimester and a history of eating non-digestible food. One given conservative treatment, had full term childbirth and no recurrence. The other had emergency cesarean section in 38 gestational week after failed non-surgery intervention. There was no significant difference between the post cesarean section ileus group with the control group in the age, gestational age and body mass index. There were statistical differences in history of abdominal operation, the lasting time of operation and hospitalization time. There was no relevance to the amount of bleeding and the analgesic pump. Three of the 23 patients had implications of abdominal and pelvic abscess, improved after two ultrasound guided puncture drainage and operation. Conclusion An actively surgical procedure should be taken in intestinal obstruction during pregnancy and after cesarean section, and alert should be oaid to the oresence of abdominal infection.
作者
周敬伟
刘国莉
梁梅英
王建六
张晓红
ZHOU Jingwei, LIU Guoli, LIANG Meiying, WANG Jianliu, ZHANG Xiaohong.(Department of Obstetrics and Gynecology, Peking University People＇s Hospital Beijing, 100044 Chin)
出处
《中国妇产科临床杂志》
CSCD
北大核心
2018年第3期196-198,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
围产期
肠梗阻
盆腔感染
Perinatal
intestinal obstruction
cesarean section
pelvic infection
