Early diagnosis and surgery timing of strangulated intestinal obstruction

VernacularTitle:绞窄性肠梗阻早期诊断与手术时机的选择
Author: hua Wen ZHANG ¹ ; xiong Zhi LIU ; Song ZHOU ; Jing LIU ; guo Ai YANG ; xiang Yao ZOU ; Kai NIE
Author Information

1. 解放军第175医院普通外科
Keywords: intestinal obstruction; strangulated; surgery; diagnosis; treatment; early stage
From: Journal of Regional Anatomy and Operative Surgery 2017;26(10):735-738
CountryChina
Language:Chinese
Abstract: Objective To investigate the early diagnosis and surgery timing of strangulated intestinal obstruction.Methods The clinical data of 90 patients with strangulated intestinal obstruction who were admitted into our hospital from January 2013 and January 2016 were retrospectively analyzed.And these patients were divided into the early stage group (28 cases) and the later stage group (62 cases).The rate of mortality and the rate of necrotic bowel resection of the two groups were analyzed.Results Among the 90 patients underwent emergency surgery,there were 88 cases cured and 2 cases died,and there were 10 cases (11.11％) of necrotic bowel resection among the survivor.In the early stage group,there were 8 cases of necrotic bowel resection and 1 case of death.In the later stage group,there were 2 cases of necrotic bowel resection and 1 case of death.Conclusion Early diagnosis and prompt surgical treatment can reduce the mortality of strangulation obstruction and necrosis of bowel resection.