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目的：评估术前给予严格肠道准备，术中使用医用壳聚糖，术后足三里封闭、口服胃肠动力药综合预防消化道肿瘤术后粘连性肠梗阻的临床疗效。方法将我科收集的自2013年3月~12月消化道肿瘤术后的的57例患者，术前给予严格肠道准备，术前1d口服硫酸镁或蕃泻叶清理肠道、术前12h禁食、8h禁饮；术中肠壁及手术切口外擦医用壳聚糖；术后足三里封闭、口服胃肠动力药、肠外营养支持、维持电解质及酸碱平衡等治疗。结果57例患者中有1例发生肠粘连(不完全性肠梗阻)；1例发生完全性肠梗阻，结果在全麻下开腹行第二次肠粘连松解术，其余患者术后恢复良好，有效率为96.50%。结论术中使用医用壳聚糖联合术后足三里封闭、口服胃肠动力药综合方法预防消化道肿瘤术后粘连性肠梗阻的临床疗效确切，值得进一步做大样本的临床探讨。“,”Objective To evaluate the preoperative bowel preparation were given strict,oral gastro intestinal motility drug prevention of gastrointestinal cancer post operative adhesive intestinal obstruction.Methods From 2013 March in our department were to 2013 December digestive trperation in 57 patients,preoperative bowel preparation before operation,strict,1dayoralpostog,parenter alnutrition,the maintenance of electrolyte and acid-basebalancetreatment.Results 57 patients occur ed in 1 cases of ChangNianlian (in complete intestinal obstruction);1 cases the other patients recovered wel ,96.50%ef iciency.Conclusion The clinical curative ef ect of orprevention of adhesive in test in alobstruction after gastroin testinal surgery exact,to explore the clinical worth further large sample.