目的探讨手术治疗和非手术保守治疗粘连性肠梗阻的临床效果。方法 78例粘连性肠梗阻患者,根据治疗方法不同分为手术治疗组(42例,采用手术治疗)和保守治疗组(36例,采用保守治疗)。比较两组患者治疗效果、平均缓解时间、平均住院时间及粘连性肠梗阻复发率。结果两组患者治疗总有效率比较差异无统计学意义(P>0.05);手术治疗组患者治愈率为100.00%,明显高于保守治疗组的36.11%,差异具有统计学意义(P<0.05)。手术治疗组患者平均缓解时间、平均住院时间均短于保守治疗组,差异具有统计学意义(P<0.05)。随访2年,手术治疗组患者粘连性肠梗阻复发率为4.76%,明显低于保守治疗组的19.44%,差异具有统计学意义(P<0.05)。结论手术治疗粘连性肠梗阻术后恢复快,复发率低,远期效果较好。 Objective To investigate the clinical effects of surgical treatment and non-surgical conservative treatment of adhesive intestinal obstruction. Methods Totally 78 patients with adhesive intestinal obstruction were divided into operation group (42 cases) and conservative group (36 cases) undergoing conservative treatment according to the different treatment methods. The therapeutic effect, average remission time, average length of stay, and the recurrence rate of adhesive intestinal obstruction were compared between the two groups. Results There was no significant difference in the total effective rate between the two groups (P> 0.05). The cure rate in the operation group was 100.00%, significantly higher than that in the conservative treatment group (36.11%, P <0.05) . The mean remission time and average length of stay in the surgical treatment group were shorter than those in the conservative treatment group, with significant difference (P <0.05). The follow-up of 2 years showed that the recurrence rate of adhesive intestinal obstruction was 4.76% in surgical treatment group, which was significantly lower than that in conservative treatment group (19.44%, P <0.05). Conclusion Surgical treatment of adhesive intestinal obstruction recovery quickly, the recurrence rate is low, the long-term effect is better.