本文選題：小腸套疊 + 腸梗阻　； 參考：《河北醫(yī)科大學》2017年碩士論文

【摘要】：術后腸梗阻是胃部手術之后的常見并發(fā)癥,其原因經常呈現(xiàn)多元性,病因治療是其治療原則中的重要一環(huán),早期確定術后腸梗阻診斷的根本原因對于避免病情惡化、提升預后有著很重要的意義。腸套疊是指一段腸管套入與其相連的腸腔內,并導致腸內容物通過障礙。腸套疊多發(fā)于幼兒,發(fā)生在成人中較為罕見,成人病例僅占所有病例的5%,而腸套疊造成的腸梗阻僅約占所有成人腸梗阻的1%[1,2]。術后小腸套疊是導致術后腸梗阻的罕見原因,也是罕見的胃部手術后并發(fā)癥,因其發(fā)病率低,并且癥狀變化多端、缺乏特異性,又常與腸粘連、吻合口水腫及狹窄、術后胃癱綜合征(postoperative gastroplegia syndrome,PGS)等并發(fā)癥同時發(fā)生且難以區(qū)別,如不能及時得到診治可能出現(xiàn)腸壞死等嚴重并發(fā)癥,甚至危及生命。本綜述旨在通過對該并發(fā)癥的分類、發(fā)病機制、診斷、預防與治療的診療進展進行總結,以期提升廣大醫(yī)務工作者對該并發(fā)癥的認識,為該疾病的防治提供理論基礎。
[Abstract]:Postoperative intestinal obstruction is a common complication after gastric surgery, and its causes are often diversified. Etiological treatment is an important part of the treatment principle. Early diagnosis of postoperative intestinal obstruction is essential to avoid deterioration of the disease. Improving prognosis is of great significance. Intussusception is when a segment of the intestine is inserted into the intestinal cavity to which it is attached and causes obstruction of the intestinal contents. Intussusception is more common in young children and rare in adults. Adult cases only account for 5% of all cases, while intussusception only accounts for 1% of all adult intestinal obstruction. Postoperative intussusception is a rare cause of postoperative intestinal obstruction and a rare postoperative complication of gastric surgery because of its low incidence, variable symptoms, lack of specificity, and often associated with intestinal adhesion, anastomotic edema and stenosis. Complications such as postoperative gastroplegia syndromes and PGSs occur simultaneously and are difficult to distinguish after operation. Serious complications, such as intestinal necrosis and even life-threatening, may occur without timely diagnosis and treatment. The purpose of this review is to summarize the classification, pathogenesis, diagnosis, prevention and treatment of the complication, so as to improve the understanding of the complication and provide a theoretical basis for the prevention and treatment of the disease.
【學位授予單位】：河北醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R656.6

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本文編號：1799229