预防术后粘连性肠梗阻的研究进展
迪力夏提·阿布地热木 1 ,邓大伟 2*
1.新疆医科大学研究生院,新疆 乌鲁木齐,830011;2.新疆医科大学第五附属医院胃肠外科,新疆 乌鲁木齐,830011
浏览次数:140次 下载次数:454次
摘要:
腹腔粘连是腹部手术后最常见的并发症之一,会导致患者术后间断出现饱胀感或腹痛等症状,甚至可能出现粘连性肠梗阻,需要再次行手术治疗。近年来,术后粘连性肠梗阻的预防工作不断受到关注。而优化手术操作,进行术式创新,使用预防粘连的材料和物,加强优质护理及中医的综合干预,都被证实对预防术后粘连有显著效果,对提高患者生活质量、降低术后并发症发生率具有重要意义。
关键词:预防;术后粘连;肠梗阻
中图分类号: R656.7 文献标志码:A文章编号:2096-1413(2018)07-0191-03
Progress in prevention of post operative adhesive intestinal obstruction
DILIXIATIAbudiremu 1 ,DENG Da-wei 2*
(1.Graduate Department, Xinjiang Medical University, Urumqi 830011; 2.Gastrointestinal Surgery Department, the Fifth
Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China)
ABSTRACT: Peritoneal adhesion is one of the most common complications after abdominal surgery, it will lead to postoperative intermittent satiety, abdominal pain and other symptoms, and it may even resultin adhesive intestinal obstruction, which needs surgical treatment again. In recent years, the prevention of adhesive intestinal obstruction obtains continuous attention. It can ensure the exact effectin prevention of post operative adhesive intestinal obstruction, and improve the quality of life, reduce the complications to optimize surgical procedures, conducts urgicalin novations, use materialsand drugs to prevent adhesions, and strengthen comprehensive interventions in quality nursing and Chinese medicine. KEYWORDS: prevention;postoperative adhesive;intestinalobstruction
参考文献:
[1]OUAISSIM,GAUJOUX S,VEYRIE N,etal.Post-operative adhesionsafterdigestive surgery:theirincidence and prevention:review oftheliterature[J].Jviscsurg,2012,149(2):104-114.
[2] BROCHHAUSEN C,SCHM ITT VH,PLANCK CN,et al.Current atrategiesand future persprctivesforintraperitionealadhesion prevention[J].Jgastrointestsurg,2012,16(6):1256-1274. [3] SABA AA,GODZIACHVILI V,MAVANI AK,et al.Serum levels ofinterleukin 1 and tumor necrosis factor alpha correlate with peritonealadhesion grades in humans aftermajorabdominalsurgery[J].Am surg,1998,64(8):734-737.
[4] 张君侠 , 张建新 . 盆腹腔手术粘连形成原因及预防研究进展 [J]. 线代中西医结合杂志 ,2011,20(32):4174-4176.
[5] 刘涛 . 探讨粘连性肠梗阻病因及手术治疗 [J]. 中国保健营养 ,2014,24(2):723.
[6] 吴杰 . 优化手术措施预防粘连性肠梗阻再发 54 例疗效观察 [J]. 基层医学论坛 ,2015,19(11):1561.
[7]SCHAFER M,KRAHENBUHL L,BUCHLER MW .Comparison ofadhesion formation in open and laparoscopic surgery[J].Dig Surg,1998,15(2):148-152.
[8] LEVRANT SG,BIEBER EJ,BARNES RB.Anterior abdominal walladhesionsafterlaparotomyorlaparoscopy[J].Am AssocGyn Laparosc,1997,4(3):353-356.
[9]BULLETTI C,POLLI V,NEGRINI V,et al.Adhesion formation afterlaparoscopic myomectomy[J].J Am Assoc GynecolLaparosc,1996,3(4):533-536.
[10]POLYMENEAS G,THEODOSOPOULOS T,STAM ATIADIS A,etal.A comparative study ofpostoperative adhesion formation after laparoscopicvsopencholecystectomy[J].SurgEndosc,2001,15(1):41-43.
[11]DEW ILDE RL,TREW G.Postoperative abdominal adhesions andtheirprevention in gynaecologicalsurgery.Expertconsensus position.Part2:stepstoreduceadhesions[J].GynecolSurg,2007(4):243-253.
[12] 李胜文 .143 例粘连性肠梗阻患者行腹腔镜手术治疗的疗效观察[J]. 中外医学研究 2014,12(3):149-150.
[13] 葛现才 , 辛群 , 沈碌 , 等 . 小肠内固定术治疗和预防广泛粘连性肠梗阻的疗效 [J]. 中华普通外科杂志 ,2016,31(3):242.
[14] 李凤双 , 刘清辉 , 庞鹏 , 等 . 进展期胃癌根治术中保留结肠下区大网膜对预防术后粘连效果的分析 [J]. 中国保健营养 ,2016,26(9):87-88.
[15] CORRALES F,CORRALES M,SCHIRMER CC.Preventing in原traperitoneal adhesions with vitamin E and sodium hyaluronate /carboxymethylcel-lulose: a comparative study in rats[J].Acts CirBras,2008,23(1):36-41.
[16] 张金花 . 医用透明质酸钠预防妇科手术后盆腔粘连的临床观察[J]. 医学临床研究 ,2010,27(11):2172-2173.
[17] 李亚洲 . 腹腔镜手术联合透明质酸钠对黏连性肠梗阻患者黏连及炎症状态指标的影响 [J]. 实用临床医药杂志 ,2017,21(1):72-74.
[18]METW ALLY M,W ATSON A,LILFORD R,etal.Fluid and pharma原cologicalagentsforadhesion prevention aftergynaecologicalsurgery[J].CochraneDatabaseSystRev,2006,19(2):CD001298.
[19] 刘春安 , 林琳 , 徐飞鹏 , 等 . 地塞米松在粘连性肠梗阻治疗中的作用[J] 广东医学 ,2013,34(20):3191-3192.
[20] 中华医学会妇产科学分会 . 预防妇产科手术后盆腹腔粘连的中国专家共识 (2015)[J]. 中华妇产科杂志 ,2015,50(6):402-404.
[21] 张允华 . 护理干预在预防胃肠道术后粘连性肠梗阻中的有效应用 [J]. 心理医生 ,2016,22(18):165-166.
[22] 赵林军 , 许海云 . 中医综合干预预防腹部手术后粘连性肠梗阻的临床疗效分析 [J]. 中国医药指南 ,2014,12(6):182.