【摘要】：[目的]探討經(jīng)胃管減壓手術方式對粘連性高位小腸梗阻的臨床應用價值。[方法]收集該院2011年8月—2014年8月粘連性高位小腸梗阻病人38例,其中腸道切開減壓組20例,經(jīng)胃管減壓組18例,比較兩組在手術出血、手術時間,術后肛門排氣時間、肛門排便時間、術后拔尿管時間、術后拔胃管時間、下床活動時間、抗感染藥物使用情況、進食進飲時間、術后住院時間、吻合口瘺、切口感染、肺部感染、腹腔感染、尿路感染的差異。[結果]手術出血、術后拔尿管時間、吻合口瘺、尿路感染方面差異無統(tǒng)計學意義(P0.05),在兩組手術時間、術后肛門排氣排便時間、術后拔胃管時間、進食進飲時間、抗感染藥物使用情況、切口感染、肺部感染、腹腔感染、下床活動時間、術后住院時間方面差異有統(tǒng)計學意義(P0.05)。[結論]經(jīng)胃管減壓組與腸道切開減壓組相比,具有手術時間短、安全性高、痛苦輕、康復快、并發(fā)癥少等優(yōu)點。
[Abstract]:[objective] to evaluate the clinical value of transgastric decompression in the treatment of adherent high small bowel obstruction. [methods] from August 2011 to August 2014, 38 patients with adhesive high small bowel obstruction were collected, including 20 cases in intestinal incision decompression group and 18 cases in gastric tube decompression group. The operative bleeding, operation time and anal exhaust time after operation were compared between the two groups. Anus defecation time, postoperative urinal withdrawal time, postoperative gastric tube withdrawal time, time to get out of bed, use of anti-infective drugs, time to eat and drink, postoperative hospitalization time, anastomotic fistula, incision infection, lung infection, abdominal infection, Differences in urinary tract infections. [results] there was no significant difference in operative bleeding, postoperative time of extubation, anastomotic fistula and urinary tract infection (P0.05). There was no significant difference between the two groups in the time of operation, the time of anal exhaust and defecation, the time of pulling out gastric tube after operation, the time of feeding and drinking, the time of feeding and drinking. There were significant differences in the use of anti-infective drugs incision infection pulmonary infection abdominal infection time of getting out of bed and postoperative hospitalization time (P0.05). [conclusion] compared with the intestinal decompression group, the transgastric tube decompression group has the advantages of shorter operation time, higher safety, less pain, faster recovery and less complications.
【學位授予單位】：重慶醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R656.7

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