| 摘要: |
| ［摘要］ 目的 观察结肠途径治疗机治疗粪石性肠梗阻的临床疗效。方法 将符合诊断标准的305例粪石性肠梗阻患者随机分为保守治疗组（75例）、手术治疗组（75例）与结肠途径治疗机组（155例）。三组均采用禁食、禁水、持续胃肠道减压、纠正水和电解质紊乱及酸碱失衡等对症治疗，手术治疗组在此基础上采用外科手术治疗，结肠途径治疗机组在此基础上采用结肠途径治疗机治疗。三组均治疗6 d（1个疗程），治疗1个疗程后观察疗效。结果 治愈率保守治疗组为53.33%，手术治疗组为100.00%，结肠途径治疗机组为96.77%。手术治疗组和结肠途径治疗机组的治愈率高于保守治疗组（P<0.05）。手术治疗组与结肠途径治疗机组相比治愈率差异无统计学意义（P>0.05）。并发症发生率保守治疗组为3.23%，手术治疗组为29.33%，结肠途径治疗机组为6.45%。手术治疗组高于结肠途径治疗机组和保守治疗组（P<0.05），结肠途径治疗机组与保守治疗组相比较差异无统计学意义（P>0.05）。结论 结肠途径治疗机治疗粪石肠梗阻疗效与外科手术治疗的疗效相当，但结肠途径治疗机组治疗后副作用低，住院时间短。 |
| 关键词: 肠梗阻，粪石性 结肠途径治疗机 |
| DOI：10.3969/j.issn.1674-3806.2010.04.03 |
| 分类号:R 574.2 |
| 基金项目:广西壮族自治区卫生厅自筹经费科研课题（No：Z2007001） |
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| Clinical study on colon therapy machine in the treatment of 155 cases of bezoar ileus |
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HUANG Pei-ning
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Department of Gastroenterogy，Baise People′s Hospital，Guangxi 533000，China
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| Abstract: |
| ［Abstract］ Objective To observe the clinical efficacy of colon therapy machine in the treatment of bezoar ileus. Methods Three hundreds and five cases according to diagnostic criteria of bezoar ileus were randomly divided into conservative treatment group (75 cases), surgical treatment group (75 cases) and colon therapy mechine group (155 cases). Three groups received fasting, water deprivation, continuous gastrointestinal decompression, correcting water, electrolyte disorders and acid-base balance and other symptomatic treatment. On a basis of above treatment， the surgical treatment group was treated by surgical therapy, the colon therapy machine group was treated by colon therapy machine. Three groups were treated for 6 days （a course of treatment）. After one course of treatment their therapeutic effect were observed. Results The cure rate of the conservative treatment group was 53.33%, that of the surgical treatment group was 100.00%, that of the colon therapy mechine group was 96.77%. The cure rates in the surgical treatment group, and the colon therapy group were higher than that in the conservative treatment group (P<0.05). Between the colon therapy mechine group and surgical treatment group, there was no significant difference in cure rate (P>0.05). The incidence of complications in the conservative treatment group was 3.23%, that in the surgical treatment group was 29.33%, that in the colon therapy mechine group was 6.45%. The incidences of complications in the surgical treatment group were higher than those in the colon therapy mechine group， and the conservative treatment group (P<0.05)； Between the colon therapy mechine group and the conservative treatment group, There was no significant difference in the incidence of complications (P>0.05). Conclusion The treatment efficacy of the colon therapy machine and surgical treatment for bezoar ileus is close, but the colon therapy mechine has lower side effects and shorter hospitalization time. |
| Key words: Bezoar ileus Colon therapy machine |
