Surgical Treatment Of Chronic Radioactive Enteritis With Intestinal Obstruction

ObjectiveOn patients with chronic radioactive bowel disease with intestinal obstruction in the surgical treatment process of intestinal short circuit and diseased bowel resection surgery clinical effect analysis,analysis of intestinal short circuit bowel resection surgery,lesions in clinical practice in the safety and feasibility of observing effect of two kinds of surgical operation,postoperative complications and prognosis analysis,main practice for clinical surgery for chronic radiation enteritis provide reference for the treatment of intestinal obstruction.MethodsIn July 2016-July 2020 in 48 patients with chronic radiation enteritis with intestinal short circuit operation and diseased bowel resection patients clinical data were retrospectively analyzed,including 30 cases of patients with intestinal short circuit operation and the clinical data of 18 cases of patients lesions bowel resection,the measurement data using statistical description of mean + standard deviation.The rate and percentage of enumeration data were used for statistical description.The independent sample T test was used for statistical analysis of measurement data.The incidence of the two surgical methods in operation time,intraoperative conditions,postoperative blood loss and major postoperative complications(such as incision infection rate,anastomotic fistula rate,pulmonary infection rate,etc.)and their influence on the prognosis of the patients were analyzed,so as to provide reference for the clinical practice of surgical treatment of chronic radiation enteritis complicated by intestinal obstruction.ResultsBy comparing the intraoperative conditions and postoperative complications of the two operation methods,it was concluded that the amount of intraoperative blood loss(P<0.05),operation time,postoperative ventilation time and hospitalization time of patients in the intestinal short circuit group were significantly better than those in the pathological bowel resection group(P<0.01).Anastomotic fistula(P=0.021)and postoperative bleeding(P=0.039)were also significantly better in the intestinal short circuit operation group than in the pathological bowel resection group,and there was no significant difference in incision infection(P=0.334)and pulmonary infection(P=0.298)between the two operation methods.However,the rate of incision infection and pulmonary infection in the former operation was lower than that in the excision group.ConclusionBy means of two groups of patients with operation method choice,compared two groups of operation main complications,intraoperative and postoperative intestinal short circuit operation in remove intestinal obstruction,rebuild the continuity,the intestinal function recovery and postoperative complications,postoperative anastomotic fistula,etc for the treatment of chronic radiation enteritis merging in the process of the intestinal obstruction disease has the security and feasibility.Intestinal short circuit surgery has obvious advantages for the treatment of chronic radiation enteritis complicated by intestinal obstruction,because the length of hospital stay of patients with intestinal short circuit surgery is less,the incidence of pulmonary infection is significantly smaller than that of patients with pathological bowel resection.In the selection of pathological bowel resection,attention should be paid to the length of the patient’s bowel after the resection of the pathological bowel,to avoid the lack of residual bowel length after resection leading to the occurrence of "short bowel syndrome".According to the clinical practice,the anatomical location of intestinal tract and the characteristics of radiation intestinal injury,the incidence of intestinal fistula complicated by emergency surgical treatment of radiation enteritis is very high.Therefore,elective surgery is a safe and effective treatment method for patients with less trauma and faster postoperative recovery.