Ratcliff J B, Kapernick P, Brooks G G, Dunnihoo D R
South Med J. 1983 Nov;76(11):1349-50, 1360. doi: 10.1097/00007611-198311000-00005.
We reviewed the cases of women admitted to LSU Medical Center in Shreveport with the diagnosis of "small bowel obstruction" from Jan 1, 1975 to June 30, 1981. Review of the charts of patients who had exploratory laparotomy for relief of the obstruction showed that 83% of them had had previous abdominal surgery. Furthermore, 67% of the patients had had an abdominal hysterectomy. In 100% of the cases of obstruction after abdominal hysterectomy, there were adhesions to the site of reperitonealization or to the anterior abdominal wall. This study shows a higher incidence of small bowel obstruction after gynecologic surgery than has been previously reported.
我们回顾了1975年1月1日至1981年6月30日期间入住什里夫波特市路易斯安那州立大学医学中心且诊断为“小肠梗阻”的女性病例。对因缓解梗阻而行剖腹探查术的患者病历进行回顾发现，其中83%的患者曾接受过腹部手术。此外，67%的患者接受过腹部子宫切除术。在腹部子宫切除术后发生梗阻的所有病例中，均存在与腹膜再植部位或前腹壁的粘连。本研究表明，妇科手术后小肠梗阻的发生率高于此前报道。
