|
| 急腹症患者胃肠道手术治疗72例临床分析 |
| Clinical Analysis of 72 Patients with Acute Abdomen Undergoing Gastrointestinal Surgery |
| 投稿时间：2025-06-21 修订日期：2026-04-06 |
| DOI： |
| 中文关键词: 急腹症 胃肠道手术 腹腔结核 恶性肿瘤 回盲部 |
| 英文关键词:Acute abdomen Gastrointestinal surgery Abdominal tuberculosis Malignant tumor Ileocecal junction |
| 基金项目:浙江省中医药科技计划项目（No.2022ZB265) |
|
| 摘要点击次数: 4 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 对比分析结核病导致的重症急腹症临床特点。方法 对2020年10月1日至2024年12月31日在浙江省中西医结合医院胃肠外科发生梗阻、穿孔行手术治疗病例进行回顾性分析,根据原发病进行分组,将明确腹腔结核者纳为结核组,术后病理明确恶性肿瘤者为肿瘤组,其他急腹症纳为对照组,其中结核组27例,肿瘤组23例,对照组22例,比较三组临床资料、白蛋白水平、手术时长、住院时长和术后并发症情况。结果 三组间身高、性别、临床表现类型、白蛋白未见明显差异,白蛋白水平均低于正常值；籍贯方面,结核组较另外两组有明显的差异；年龄方面,结核组平均年龄最小,对照组次之,肿瘤组最大,三组之间差异明显；在体重、BMI方面,结核组明显低于另两组；结核组并发症发生最多,以肠瘘为主,肿瘤组最少,两组间差异明显；肿瘤组手术时长明显长于另两组,对照组住院时长明显低于另两组。另外进行统计比较发现,穿孔患者年龄、白蛋白水平和住院时长均较梗阻患者更低,结核多发于回盲部。结论 结核病发病年龄小,为严重消耗性疾病,好发于回盲部,易发生肠瘘,导致住院时间延长,治疗上应通过药物、手术等方式尽早进行干预,改善预后以提高生活质量。 |
| 英文摘要: |
| Objective To compare and analyze the clinical characteristics of severe acute abdomen caused by tuberculosis. Methods A retrospective analysis was conducted on cases of obstruction and perforation that underwent surgical treatment in the gastrointestinal surgery department of Zhejiang Provincial Hospital of Integrated Traditional and Western Medicine from October 1, 2020, to December 31, 2024.According to the primary disease, the patients with abdominal tuberculosis were divided into the tuberculosis group, the patients with postoperative malignant tumor were divided into the tumor group, and the other acute abdomen were divided into the control group, including 27 cases in the tuberculosis group, 23 cases in the tumor group, and 22 cases in the control group. The general conditions, albumin levels, operation duration, hospitalization duration, and postoperative complications of patients were compared among the three groups. Results There were no significant differences in height, gender, clinical manifestations, and albumin among the three groups, the albumin levels in all groups were lower than the normal value. The distribution of origins in the tuberculosis group was significantly different from the other two groups. In terms of age, the average age of the tuberculosis group was the youngest, followed by the control group, and the tumor group was the oldest, with significant differences among the three groups. In terms of weight and BMI, the tuberculosis group was significantly lower than the other two groups. The tuberculosis group had the highest incidence of complications, while the tumor group had the lowest, with significant differences between the two groups. The operation duration of the tumor group was significantly longer than the other two groups, and the hospitalization duration of the control group was significantly lower than the other two groups. Additionally, it was found that patients with perforation had lower age, albumin levels, and hospitalization duration compared to those with obstruction. Tuberculosis often occurred in the ileocecal region. Conclusion Tuberculosis has an early onset age and is a severe wasting disease, more likely occurring in the ileocecal region, and is prone to develop intestinal fistulas, which leads to prolonged hospitalization. Treatment should be carried out as early as possible through drugs, surgery and other means to improve the prognosis and quality of life. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
