【摘要】 目的 总结12年来肠梗阻的诊治经验及体会，探讨肠梗阻的病因及治疗措施。方法 回顾性分析本院外科1994年1月～2005年12月256例肠梗阻病例的诊治经过。结果 病因明确228例(89%)，原因不明28例(11%)；非手术治疗75例(29.3%)，手术治疗181例(70.7%)，术后并发症18例(9.9%)；死亡18例(7.03%)。结论 粘连、肿瘤、疝分列肠梗阻病因的前三位，分别占35.93%、27.34%、10.55%。12年间肠梗阻以粘连性肠梗阻、肿瘤性肠梗阻最常见。粘连性肠梗阻中85%为手术所致，肿瘤性肠梗阻临床表现有一定特点。肠梗阻的手术指征应根据临床表现、辅助检查资料综合判定；而早期诊断、积极合理的综合治疗能够降低病死率。

    【关键词】 肠梗阻； 病因； 诊断； 综合疗法

    Clinical analysis of intestinal obstruction in 256 cases

    CHEN Yong，SHAO De-gang，LUO Rei-yun，et al. Department of Surgery，Yaoan People’s Hospital，Yaoan 675300，China.

    【Abstract】 Objective To summarize our experience in the diagnosis and treatment of intestinal obstruction and investigate the etiology and treatment of intestinal obstruction from Jan 1994 to Dec 2005. Methods The clinical data of 256 cases of intestinal obstruction were analyzed from Jan 1994 to Dec 2005 in Yaoan People’s Hospital. Results The causes were clear in 228 cases(89%)，unclear in 28 cases(11%)，nonoperative management was done in 75 cases(29.3%)，and operative management in 181 cases(70.7%) ......