目的    探讨术后早期炎性肠梗阻的治疗方法与长期随访结果。方法    回顾性分析1999年1月至2008年12月南京军区南京总医院解放军普通外科研究所治疗的术后早期炎性肠梗阻病人中随访121例的临床病例。该研究的主要和次要终点目标为因肠梗阻而手术和肠梗阻复发。结果    121例病人均采用非手术治疗而痊愈，随访2~116（43.23±12.75）个月，无一例因肠梗阻而再次手术治疗；14例（11.57%）病人发生肠梗阻复发，其中6例（4.96%）因症状明显需入院治疗。结论　长期随访结果表明，以非手术治疗为主的术后早期炎性肠梗阻，肠梗阻复发率低，手术不是肠梗阻复发病人的主要治疗手段。

Long-term follow-up following nonsurgery for early postoperative inflammatory intestinal obstruction        LI You-sheng,LI Min,LI Ning, et al. Department of Surgery, Nanjing General Hospital of Nanjing Command, Nanjing 210002, China
Corresponding author: LI You-sheng, E-,mail: liys@medmail.com.cn
Abstract    Objective    To examine the results of treatment for the early postoperative inflammatory intestinal obstruction and long-term follow-up. Methods    A retrospective analysis of 121 patients with early postoperative inflammatory intestinal obstruction from January 1999 to December 2008 was undertaken. Patients’ medical records were reviewed in their entirety. A systematic follow-up was carried out and ended in March 2009. The primary endpoint and secondary endpoint of the study were surgery and the recurrence rate of intestinal obstruction caused by intra-abdominal adhesions. Results    All patients were treated conservatively. The follow-up period was 2-116（43.23±12.75） months. Overall, 14(11.57%) of the 121 patients had recurrent episodes of intestinal obstruction and 6 patients (4.96%) had a least a admission. No patient had undergone operation for intestinal obstruction.Conclusion    Non-operative treatment for early postoperative inflammatory intestinal obstruction has a lower cumulative recurrence rate following a long-term follow-up. Operative treatment is not deemed necessary.