القرار الجراحي في انسدادات الأمعاء التالية للجراحة البطنية

Authors

  • سجيع مسعود
  • أكثم قنجراوي
  • فادي كش

Abstract

شملت الدراسة 50 مريضاً دخلوا مشفى الأسد الجامعي في اللاذقية خلال الفترة الواقعة بين عامي 2004-2002  في قسم الجراحة بتشخيص مبدئي انسداد أمعاء (حاد أو تحت حاد) مع سوابق فتح بطن جراحي.

تميزت الدراسة بسيطرة الذكور بنسبة 70% خاصة في العقدين الخامس والسادس.

كما تضمنت دراسة الأعراض والعلامات السريرية حيث كان الألم البطني هو العرض المسيطر بنسبة  96%, وتحديد نمط وتصنيف وموقع الانسداد بالاعتماد على القصة المرضية والفحص السريري والاستقصاءات الشعاعية والفحوص المتممة:

أ ـ نمط الانسداد: آلي (ميكانيكي) 96%.

ب ـ تصنيف الانسداد: انسداد تام 78%.

ج ـ موقع الانسداد: انسداد علوي 70%.

تم توزيع المرضى إلى مجموعتين علاجيتين (جراحي ـ محافظ) وفقاً واعتماداً على معايير سريرية وشعاعية ومخبرية حيث كانت نسبة العلاج المحافظ 44%, ونسبة العلاج الجراحي 56%.

 

The research included 50 patients in AL-ASSAD academic hospital in Lattakia: (2002-2004).

The research was carried on patients whom were admitted to the department of surgery with initial diagnoses of intestinal obstruction (acuteـsub acute) with previous laparatomy.

The research was characterized by a high rate of male patients 70%, especially those in their 5th and the 6th decades.

The research comprised the following:

Studying clinical signs and symptoms in which the abdominal pain was the prevailing   symptom 96%.

Depending on the history, clinical examination, radiography investigation and comlementary examination we recognized:

  1. Obstruction type: Mechanical obstruction  96%.
  2. Obstruction classification: Complete obstruction 78%.
  3. Obstruction location: Upper obstruction 70%.

 

Depending on clinical, radiography and serology criteria the patients were divided into two therapeutic groups (conservative ـ surgical) in which the conservative rate was 44%, and the surgical was 56%.

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Published

2019-02-19

How to Cite

1.
مسعود س, قنجراوي أ, كش ف. القرار الجراحي في انسدادات الأمعاء التالية للجراحة البطنية. Tuj-hlth [Internet]. 2019Feb.19 [cited 2024May3];26(4). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/8192

Issue

Vol. 26 No. 4 (2004): العلوم الصحية

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