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目的总结包囊内粘连性肠梗阻的诊治经验。方法回顾分析 43例包囊内粘连性肠梗阻的临床资料。结果 B型超声、消化道钡餐造影对诊断有重要价值 ,腹腔镜检查可明确诊断 ,治疗以手术为主 ,行包膜松解 ,解除脏器禁锢 ,切除全部或部分包囊壁 ,松解囊内肠间粘连、解除梗阻和 (或 )作肠排列术。结论加强对该病的认识 ,提高术前确诊率 ,了解手术治疗方法及围手术期的处理 ,是提高成功率的关键。
Objective To summarize the diagnosis and treatment of adhesive intestinal obstruction in cysts. Methods The clinical data of 43 patients with adhesive intestinal obstruction were retrospectively analyzed. Results B-mode ultrasound and gastrointestinal barium meal imaging were of great value in the diagnosis. Laparoscopy could confirm the diagnosis. Surgical operation was the main method. The capsule was released and the organ was removed. All or part of the cyst wall was excised and the cyst was loosened. Intestinal adhesion, relieve obstruction and (or) for intestinal arrangement. Conclusion To strengthen the understanding of the disease, improve the preoperative diagnosis rate and understand the surgical treatment and perioperative management is the key to improve the success rate.