Effect of surgical methods on the prognosis of patients of acute superior mesenteric artery embolization with intestinal necrosis
10.3760/cma.j.cn113855-20210713-00429
- VernacularTitle:急性肠系膜上动脉栓塞肠坏死不同手术方式的预后分析
- Author:
Yunlong LI
1
;
Mian WANG
;
Yan MIAO
;
Huimin ZHANG
;
Fengni XIE
;
Liu HONG
Author Information
1. 空军军医大学附属西京医院消化外科，西安 710032
- Keywords:
Embolism;
Mesenteric artery, superior;
Complications;
Prognosis
- From:
Chinese Journal of General Surgery
2022;37(5):321-324
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the clinical experience in treating acute superior mesenteric artery embolization with intestinal necrosis.Methods:Clinical data, surgical methods, complications and 30-day follow-up of patients with acute superior mesenteric artery embolization and intestinal necrosis admitted at Xijing Hospital of Air Force Military Medical University from Jan 2008 to Dec 2020 were retrospectively analyzed.Results:A total of 46 patients were included. The 30-day overall mortality rate was 19.6%, and that of those treated by enterostomy after enterectomy was 12.1%, and that was 38.5% in those undergoing primary entero-anastomosis after enterectomy. Univariate analysis showed that rebound pain was positive ( P=0.025), MAP was higher than 105mmHg ( P=0.04), heart rate was less than 120 beats/min ( P=0.04), and Fullen intestinal ischemia grade ( P=0.03) was significantly related to survival rates. Conclusions:Rebound pain, MAP, heart rate, Fullen grade, and surgical methods significantly affect the prognosis of patients. More patients survive with intestinal resection and enterostomy than those with intestinal resection and immediate anastomosis.
