中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (09): 820-822.

• 论蓍 • 上一篇    下一篇

短肠综合征肠道再手术分析

李幼生，李    宁，李元新，任建安，朱维铭，赵允召，王    剑，郭明晓，黎介寿   

  1. 南京军区南京总医院全军普通外科研究所，江苏南京210002
  • 出版日期:2011-09-01 发布日期:2011-08-19

  • Online:2011-09-01 Published:2011-08-19

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摘要：

目的    分析手术后短肠综合征（SBS）病人再手术，降低SBS再手术率。方法    回顾性总结2001年1月至2010年12月南京军区南京总医院解放军普通外科研究所收治的短肠综合征病人198例，其中因肠道原因而再次手术治疗病人76例（男59例，女17例），年龄5~62（37.98±13.75）岁，残存小肠长度0~150（72.53±41.83）cm。结果    76例SBS接受再次手术124（1.63±0.4）例次，再次手术以肠造口还纳（43例次）、腹腔感染引流（28例次）及病变肠袢切除吻合（肠梗阻13例次、肠瘘12例次，蛋白质丢失病7例次、肠穿孔/肠坏死5例次）为主。SBS病人因肠道原因再手术率为38.4%。结论    SBS病人因肠道原因再手术率较高，选择合理的首次手术方式，有助于降低再手术率。

关键词: 短肠综合征, 再手术, 肠道疾病

Abstract:

Reoperation for short bowel syndrome with intestinal disorders        LI You-sheng, LI Ning, LI Yuan-xin,et al. Institute of General Surgery, Department of Surgery, Nanjing General Hospital of Nanjing Military Command, People's Liberation Army, Nanjing 210002, China
Corresponding author：LI Jie-shou，E-mail：lijieshounj@163.com
Abstract    Objective    To review the reoperation for short bowel syndrome patients with intestinal disorders.    Methods    From January 2001 to December 2010, a consecutive series of 198 patients with short bowel syndrome was reviewed, retrospective. Of the 198 patients, 76 patients with intestinal disorders underwent reoperation. They included 56 men and  16 women (median age, 37.98±13.75 years; range, 5－62 years).The remaining small intestine length was 72.53±41.83(0－150)cm. Results    Seventy-six patients underwent 124(1.63±0.46）reoperations, including takedown of enterostomy, drainage for intra-abdominal infections, intestinal resection and anastomosis including obstruction, fistula, protein-losing enteropathy, intestinal per formation and necrosis). The reoperation rate of SBS for intestinal disorders was 38.4% (76/198). Conclusion    The reoperation rate of SBS for intestinal disorders was so high. Reasonable surgical procedures in the paimary operation have the potential to reduce reoperation rate for small bowel syndrome.

Key words: short bowel syndrome, reoperation, intestinal disorders