腹腔镜粘连松解术治疗粘连性肠梗阻32例研究  

Clinical research of Laparoscopic Accretive Intestinal Obstruction with 32 cases

作　　者：梁日光[1] 梁伟成[1] 邓建中[1] 

机构地区：[1]广东省高州市人民医院普通外科,广东高州525200

出　　处：《海南医学》2004年第11期24-25,共2页Hainan Medical Journal

摘　　要：目的　探讨腹腔镜粘连松解术治疗粘连性肠梗阻的优越性、局限性及注意事项。方法　行腹腔镜肠粘连松解术 3 2例。结果　完成 2 5例 ( 78% ) ,中转开腹 7例 ( 2 2 % ) ,术后平均住院 7天。术后恢复顺利 ,1例术后 1月复发。结论　腹腔镜肠粘连松解手术成功的关键为病例的选择 ,该方法复发率低 ,但腹胀 ,腹腔内广泛致密粘连 ,有肠管坏死者仍需开腹手术。Objective To investigate the advantages,limitations and the items that we should pay special attention to of Laparscopic Accretive Intestinal Obstruction.Methods Thirty two cases of Accretive Intestinal Obstruction received operations by laparoscope.Results Among them, Accretive Intestinal Obstruction was achieved in 25/32(78%) by a laparosocpic approach.Conversion to open surgery was 7/32 patients (22%).The mean length of postoperative hospital stay was 7 days.Most patients were fully recovered.Only one case of them recured postoperation in a month.Conclusions The percentage of recurrence of using laparoscopic treatment for Accretive Intestinal Obstruction is fairly low,but abdominal distension,and the patients whose intestines are widely compact accretive in their abdominal cavities and whose intestines get necrosis need surgery.

关 键 词：治疗 腹腔镜粘连松解术 粘连性肠梗阻 术后恢复 肠粘连松解术 腹腔内 松解手术 结论 优越性 方法 

分 类 号：R657[医药卫生—外科学] R656[医药卫生—临床医学]