Retrospective Study
Copyright ©The Author(s) 2025.
World J Gastrointest Surg. Jul 27, 2025; 17(7): 104777
Published online Jul 27, 2025. doi: 10.4240/wjgs.v17.i7.104777
Table 1 Ultrasound typing criteria for adhesive intestinal obstruction
The severity of the condition
Ultrasound typing criteria
Simple type (mild)Local intestinal adhesion: Local adhesion of the intestinal wall and intestinal wall and abdominal wall, no obvious abdominal-pelvic effusion, local intestinal expansion
Complex type (moderate)There are extensive intestinal adhesions in the abdominal cavity, with adhesion band formation, adhesive masses, extensive intestinal dilatation, and a small amount of effusion in the abdominal and pelvic cavity
Critical condition type (severe type)There were extensive abdominal adhesions, with intestinal ischemia and necrosis, and more effusion in the abdominal and pelvic cavity
Table 2 Contrast ultrasound signs of patients in the conservative vs surgical treatment groups, n (%)
Item
Conservative treatment group (n = 58)
Surgical treatment group (n = 62)
χ2 (t)
P value
GenderMale25 (43.10)29 (46.77)0.1630.686
Female33 (56.90)33 (53.23)
Age (year), mean ± SD46.50 ± 6.3446.35 ± 6.40(0.129)0.898
Body mass index (kg/m2), mean ± SD20.50 ± 1.2320.40 ± 1.30(0.432)0.666
Time of onset to presentation (day), mean ± SD5.50 ± 1.455.48 ± 1.46(0.075)0.940
Medical history of the diseaseHistory of abdominal surgery50 (86.21)53 (85.48)0.0120.909
History of gynecological surgery5 (8.62)5 (8.06)0.0480.825
History of acute and chronic inflammation in the abdominal cavity or bowel3 (5.17)4 (6.45)0.0080.927
Ultrasonic signDilatation of intestine49 (84.48)59 (95.16)3.7960.051
Pyoperitoneum38 (65.52)50 (80.65)3.5060.061
Adhesion block35 (60.34)58 (93.55)12.9580.000
Decussation5 (8.62)54 (87.10)73.8400.000