关键词: 术后早期炎性肠梗阻, 随访, 非手术治疗

Abstract:

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.

Key words: early postoperative inflammatory intestinal obstruction; , follow-up；non-operative therapy