摘要
目的比较小肠内排列术与传统肠梗阻手术在广泛粘连性肠梗阻患者中的临床治疗效果。方法回顾性分析2015年1月至2019年1月芜湖市第二人民医院收治的60例广泛粘连性肠梗阻患者的临床资料,按照治疗方法的不同将患者分为两组:研究组和对照组,每组各30例。研究组患者采用小肠内排列术治疗对照组患者采用传统肠梗阻手术治疗。比较两组患者的手术时间、术中出血量、术后排气时间、排便时间、住院时间、住院费用及术后并发症发生率。结果研究组患者的手术时间、术中出血量、术后排气时间、排便时间、住院时间、住院费用依次为(125.84±9.47)min、(149.52±11.28) ml、(2.04±0.58) d、(2.47±0.68) d、(7.12±0.93) d、(10 130±420)元对照组患者的手术时间、术中出血量、术后排气时间、排便时间、住院时间、住院费用依次为(90.39±8.85) min、(181.07±11.66) ml、(3.11±0.67) d、(3.35±0.74) d、(9.97±1.14) d、(13 950±710)元;与对照组相比,研究组患者的术后排气时间、住院时间明显更短术中出血量、住院费用明显更低,但手术时间明显更长,差异均具有统计学意义(P <0.05)。研究组患者的术后并发症发生率(3.33%)明显低于对照组(26.67%)差异具有统计学意义(P <0.05)。结论小肠内排列术应用于广泛粘连性肠梗阻治疗中的效果优于传统肠梗阻手术,可有效减少患者术中出血量与住院费用,缩短其术后排气、排便时间及住院时间且术后并发症少,有利于促进患者快速恢复值得推广应用。
Objective To compare the clinical effect of internal intestinal splinting and conventional surgery in patients with extensive adhesive intestinal obstruction.Methods The clinical data of 60 patients with extensive adhesion intestinal obstruction admitted to the Second Peoples Hospital of Wuhu City from January 2015 to January 2019 were retrospectively analyzed.The patients were divided into two groups according to different treatment methods:research group and control group,30 cases in each group.Patients in the study group were treated with intermal intestinal splinting,and patients in the control group were treated with conventional intestinal obstruction surgery.The operation time,intraoperative blood loss,postoperative exhaustion time,defecation time,hospitalization time,hospitalization cost and incidence of postoperative complications were compared between the two groups of patients.Results The operation time,intraoperative blood loss,postoperative exhaustion time,defecation time,hospitalization time,and hospitalization cost of the study group were(125.84±9.47) min,(149.52±11.28) ml,(2.04±0.58) d,(2.47±0.68) d,(7.12±0.93) d,and(1 0130±420) RMB,respectively.Those of the control group were(90.39±8.85) min,(181.07±11.66) ml,(3.11±0.67) d,(3.35±0.74) d,(9.97±1.14) d,and(13950±710) RMB;compared with the control group,the postoperative exhaustion time and hospitalization time were significantly shorter,the intraoperative blood loss and hospitalization cost were significantly lower,but the operation time was significantly longer,and the differences were statistically significant(P <0.05).The incidence of postoperative complications of the study group(3.33%) was significantly lower than that in the control group(26.67%),and the difference was statistically significant(P <0.05).Conclusion The effect of internal intestinal splinting in the treatment of extensive adhesive intestinal obstruction is better than that of conventional intestinal obstruction surgery.It can effectively reduce the amount of bleeding and hospitalization cost,shorten the time of postoperative exhaustion,defecation and hospitalization,and reduce the incidence of postoperative complications,which is conducive to the rapid recovery of patients,and is worth popularizing.
作者
蒯加高
徐庆春
王晨
KUAI Jia-gao;XU Qing-chun;WANG Chen(Department of Emergency Surgery,The Second People's Hospital of Wuhu,Wuhu Anhui 241000,China)
出处
《临床和实验医学杂志》
2020年第3期320-323,共4页
Journal of Clinical and Experimental Medicine
基金
安徽省自然科学基金项目(编号:SB2017D89)
关键词
广泛粘连性肠梗阻
小肠内排列术
传统肠梗阻手术
Extensive adhesive intestinal obstruction
Internal intestinal splinting
Traditional intestinal obstruction surgery
