论文部分内容阅读
目的 :评价粘连性小肠梗阻的发生与各种常见妇科手术之间的关系。方法 :回顾分析本院 1989～ 1999年所有证实为小肠梗阻的女性患者 ,分析其梗阻原因、类型、手术方式、方法。结果 :180例小肠梗阻女性患者中 ,粘连性肠梗阻 73例 ,其中 60例曾有腹部或盆腔手术史 ,其中 3 5例为妇科或产科手术 ,包括子宫切除术 2 2例 ,子宫附件手术 9例 ,子宫肌瘤切除术 2例 ,剖宫产分娩术 2例。与本院同期手术总数相比 ,以上各类手术术后粘连性小肠梗阻发生率依次为 1 67%、0 97%、0 82 %及 0 0 3 %。妇科手术与小肠梗阻发生间隔时间平均为 4年。结论 :妇科手术后肠粘连为小肠梗阻最常见原因之一 ,其中又以子宫切除术后最多见
Objective: To evaluate the relationship between the occurrence of adhesive intestinal obstruction and various common gynecological surgeries. Methods: A retrospective analysis of all the women with confirmed intestinal obstruction in our hospital from 1989 to 1999 was conducted to analyze the causes, types, operation methods and methods of obstruction. Results: Of the 180 patients with small bowel obstruction, 73 were adhesive intestinal obstruction, of which 60 had abdominal or pelvic surgery history, of which 35 were gynecological or obstetric surgery including 22 cases of hysterectomy and 9 cases of uterine attachment For example, myomectomy in 2 cases, cesarean section delivery in 2 cases. Compared with the total number of operations in our hospital over the same period, the incidences of these types of postoperative adhesive intestinal obstruction were 1 67%, 0 97%, 0 82% and 0 0 3%, respectively. Gynecological surgery and intestinal obstruction occurred on average 4 years. Conclusions: Gut adhesion after gynecological surgery is one of the most common causes of small bowel obstruction, which is the most common after hysterectomy