Diagnosis and Treatment in Elderly Patients with Intestinal Obstruction -A Retrospective Analysis of 154 cases

doi:10.14033/j.cnki.cfmr.2015.04.003

Abstract：Objective:To investigate the clinical characteristics,treatment and clinical result of the elderly with intestinal obstruction,by which it will provide reference for the diagnosis and treatment of the elderly intestinal obstruction.Method:We collected 154 cases of the elderly intestinal obstruction from January 2008 to December 2013 in the Affiliated Hospital of Qingdao University Medical College.Aggregately analyzed etiology, treatment and length of stay,coexisting diseases and fatality rate of patients.Result:In 154 cases,the top three etiologies were neoplasm,adhesion and hernia.There were 79 patients underwent surgical operation and 75 patients received expectant treatment.The length of stay of expectant treatment patient’s was significantly shorter than that of surgical patients(P<0.01).There were 102 patients who had different coexisting diseases.Both surgical treatment group and expectant treatment group,the length of stay of the patients had coexisting diseases were longer than those who had no coexisting diseases,the different was significant.154 cases,there were 6 deaths.The fatality rate accounted for 1.05% in surgical treatment group,8.47% in expectant treatment group,there was statistical significance(P<0.05).However,there were no statistical differences between the patients had coexisting diseases group and had no coexisting diseases group(P>0.05).Conclusion:(1)Neoplasm is the commonest reason leading to the elderly intestinal obstruction,this is followed by adhesive and hernia.(2)The coexisting diseases affect the clinical result of elderly intestinal obstruction.(3)The operative indication of elderly intestinal obstruction should be properly relaxed.