PDF(Pubmed)
Abstract：
UNASSIGNED: Cases of adhesive small bowel obstruction are a nuisance to surgeons. There have been years of ongoing discussions, and various guidelines have been published for the management of this disease. Both surgical and conservative approaches can have their own complications. It is often difficult to decide which treatment to apply to which patient. We aimed to create a multiparametric scoring system for the optimal management of adhesive small bowel obstruction patients.
UNASSIGNED: The retrospective laboratory, clinical and radiological records of 100 patients who were hospitalized and followed-up/treated for adhesive small bowel obstruction secondary to surgery in the General Surgery Clinic of Haydarpaşa Numune Education and Research Hospital (Istanbul) between 2011 and 2021 were reviewed and statistically analyzed.
UNASSIGNED: Admittance CRP and the largest diameter of the small intestine in the horizontal section of the admittance CT scans were significantly higher (P = 0.006 and P = 0.007), and the admittance albumin and sodium values were significantly lower (P < 0.001 and P = 0.031) in patients operated on for adhesive small bowel obstruction than in patients not operated on. Free intraperitoneal fluid in CT scans was detected at a higher rate in the operated group. An adhesive small bowel obstruction surgery score above 3.5 points out of 7 was found to be significant (P < 0.001).
UNASSIGNED: With this easy and applicable scoring system, complications of existing disease may be avoided by considering earlier surgical intervention in patients with a score of 4 and above.
UNASSIGNED: The retrospective laboratory, clinical and radiological records of 100 patients who were hospitalized and followed-up/treated for adhesive small bowel obstruction secondary to surgery in the General Surgery Clinic of Haydarpaşa Numune Education and Research Hospital (Istanbul) between 2011 and 2021 were reviewed and statistically analyzed.
UNASSIGNED: Admittance CRP and the largest diameter of the small intestine in the horizontal section of the admittance CT scans were significantly higher (P = 0.006 and P = 0.007), and the admittance albumin and sodium values were significantly lower (P < 0.001 and P = 0.031) in patients operated on for adhesive small bowel obstruction than in patients not operated on. Free intraperitoneal fluid in CT scans was detected at a higher rate in the operated group. An adhesive small bowel obstruction surgery score above 3.5 points out of 7 was found to be significant (P < 0.001).
UNASSIGNED: With this easy and applicable scoring system, complications of existing disease may be avoided by considering earlier surgical intervention in patients with a score of 4 and above.
摘要：
■粘连性小肠梗阻的病例会给外科医生带来麻烦。已经进行了多年的讨论，并且已经发布了各种治疗这种疾病的指南。手术和保守方法都可能有自己的并发症。通常很难决定对哪个患者应用哪种治疗。我们旨在创建多参数评分系统，以优化粘连性小肠梗阻患者的管理。
■回顾性实验室，本研究回顾了2011年至2021年在HaydarpašaNumune教育与研究医院(伊斯坦布尔)普外科诊所因手术继发粘连性小肠梗阻住院和随访/治疗的100例患者的临床和影像学记录,并进行了统计学分析.
■导纳CRP和小肠的最大直径在导纳CT扫描水平段明显增高(P=0.006和P=0.007),粘连性小肠梗阻患者的导纳白蛋白和钠值显着降低（P<0.001和P=0.031）。在手术组中，在CT扫描中检测到的游离腹膜内液的比率更高。发现7分的粘连性小肠梗阻手术评分高于3.5分（P<0.001）。
■有了这个简单而适用的评分系统，对4分以上的患者考虑早期手术干预,可以避免现有疾病的并发症.
■回顾性实验室，本研究回顾了2011年至2021年在HaydarpašaNumune教育与研究医院(伊斯坦布尔)普外科诊所因手术继发粘连性小肠梗阻住院和随访/治疗的100例患者的临床和影像学记录,并进行了统计学分析.
■导纳CRP和小肠的最大直径在导纳CT扫描水平段明显增高(P=0.006和P=0.007),粘连性小肠梗阻患者的导纳白蛋白和钠值显着降低（P<0.001和P=0.031）。在手术组中，在CT扫描中检测到的游离腹膜内液的比率更高。发现7分的粘连性小肠梗阻手术评分高于3.5分（P<0.001）。
■有了这个简单而适用的评分系统，对4分以上的患者考虑早期手术干预,可以避免现有疾病的并发症.
