论文部分内容阅读
目的:探讨硬化性腹膜炎的临床特点及诊治方法。方法:综合分析3例硬化性腹膜炎的临床资料。结果:3例患者均为慢性不完全性肠梗阻就诊,检查腹部平片及消化道钡餐造影等,行手术小肠粘连松解,1例部分小肠切除吻合,术后均再次发生肠梗阻,其中1例再次手术开腹后由于粘连紧密未作处理给予关腹。术后保守治疗后症状缓解后出院,无1例死亡。结论:硬化性腹膜炎术前诊断困难,手术效果不佳,术后仍然复发肠梗阻,应谨慎手术。
Objective: To investigate the clinical features and diagnosis and treatment of sclerosing peritonitis. Methods: A comprehensive analysis of 3 cases of clinical data of sclerosing peritonitis. Results: All 3 patients were treated with chronic incomplete intestinal obstruction. The abdominal plain film and gastrointestinal barium meal were examined. The operative intestinal adhesions were released. One case of partial small intestine resection and anastomosis was performed. For example, after surgery again open laparotomy due to adhesions not given to close the abdomen. Postoperative conservative treatment of symptoms after discharge, no one died. Conclusions: The preoperative diagnosis of sclerosing peritonitis is difficult, and the operation result is not good. Intestinal obstruction is still recurred after operation, and surgery should be cautious.