1. Department of Surgery,Beijing International Studies University Hospital, Beijing 100024;2. Department of Obstetrics and Gynecology, Beijing Ditan Hospital, Capital Medical University, Beijing 100015；3. Department of Obstetrics and Gynecology. Captial University of Economic and Business Hospital,Beijing 100018,China
Abstract：Objective To study the related factors of early inflammatory bowel obstruction in chronic HBV infection patients after cesarean section and non-operative treatment. Methods Retrospective analysis clinical materials from January 1998 to January 2012 of eight patients with chronic HBV infection who underwent cesarean section and developed early inflammatory bowel obstruction was carried out, and matched 40 patients with chronic HBV infection undergoing cesarean section as control group in the same period.Comparative analysis of related factors and non-operative treatment effectwas also made. Results A total of 8 pregnant patients with chronic HBV infection developed early postoperative inflammatory ileus, after cesarean section ,accounting for 1.4 ‰, they were treated conservatively and cured.Previous history of abdominal surgery is the single risk factor (Exp(B) =39.813) of early inflammatory in ileus patients with chronic HBV infection patients after cesarean section. Gravidity, parity, gestational age,fetal weight, postpartum hemorrhage, cesarean delivery time, and postoperative analgesia do not increase the risk of intestinal obstruction. Conclusions The history of previous abdominal surgery should be alert to develop ileus in patients with chronic HBV infection after cesarean section.Non-surgical treatment has a good effect .Early diagnosis and early treatment are the key issue for treating early inflammatory bowel obstruction in patients with chronic HBV infection after cesarean section.
2013, Vol. 24 
