腹腔结核合并肠梗阻的外科治疗探讨(附112例报告)

• Published in: Jie fang jun yi xue za zhi Vol. 41; no. 12; p. 1051
• Main Authors: Zhi-yu, CAO, Jian-miao HE, Qing-jun, ZHANG, LV, Gang, Yu-qi, SHI, YANG, Bo
• Format: Journal Article
• Language: Chinese
• Published: Beijing People's Military Medical Press 01.01.2016
• Subjects: Abdomen; Tuberculosis
• ISSN: 0577-7402
• DOI: 10.11855/j.issn.0577-7402.2016.12.16

Objective　To summarize the experiences in surgical treatment of abdominal tuberculosis and intestinal obstruction. Methods　The clinical data were retrospectively analyzed of surgically treated 112 cases of abdominal tuberculosis and intestinal obstruction from Jan. 2010 to Dec. 2015. Results　Of the 112 cases, 96 were diagnosed with complete intestinal obstruction, including 29 cases of ileocecal tuberculosis (12 cases of ileum perforation), 39 cases of severe adhesions, and 28 cases of strangulated ileus caused by adhesive band; 16 cases were incomplete ileus, including 6 cases of ileocecal tuberculosis, 6 cases of part adhesions caused by mesenteric lymph node tuberculosis, and 4 cases of angulation adhesion. A hundred and six cases were cured surgically. Six cases were obstructed again and cured after antituberculotic treatment. Five cases were with intestinal fistula after surgery, of whom 2 cases died of MODS induced by aggravation of infection, and 3 cases were cured and recovered after antituberculotic