腹腔镜下处理粘连性肠梗阻的体会  

Management of adhesive intestinal obstruction by laparoscopy

作　　者：李平[1] 古少东[1] 王霏[1] 夏联山[1] 吴柳春[1] 林红峡[1] 

机构地区：[1]湖北省宜昌市三峡大学第三临床学院葛洲坝中心医院外一科,443002

出　　处：《腹部外科》2008年第1期32-33,共2页Journal of Abdominal Surgery

摘　　要：目的探讨应用腹腔镜技术诊治粘连性肠梗阻的价值。方法利用腹腔镜粘连松解术治疗粘连性肠梗阻20例,用电凝、分离钳、分离剪及超声刀分离、切断粘连带。结果本组腹腔镜手术成功18例,加用辅助小切口行病变段小肠切除、肠吻合术2例。平均手术时间70min,术中出血10～50ml。本组无手术死亡病例及其他并发症发生。随防1～36个月,无梗阻症状复发。结论腹腔镜肠粘连松解术具有手术时间短、病人创伤小、出血少、术后康复快、并发症少、住院时间短等优点。Objective To explore the diagnostic value of laparoscopy in adhesive intestinal obstruction. Methods Twenty patients with adhesive intestinal obstruction were treated with adhesiolysis under laparoscopy. The adhesion was separated by electrocoagulation, ultrasonic scalpel, forceps and scissors. Results Among them, 18 patients were treated by laparoscopic enterolysis. Two patients were subjected to small bowel resection and intestinal anastomosis by a subsidiary incision additionally. The average operative time was 70 min. The perioperative blood loss was 10-50 ml. No opeative death and other complications occurred. During a follow-up period of 1 to 30 months, no obstructive symptoms recurred. Conclusion Laparoscopic adhesiolysis has many advantages such as shorter operative time, milder trauma, less blood loss, quicker postoperative recovery, less complications and shorter hospital stay.

关 键 词：肠梗阻 腹腔镜检查 手术后并发症 

分 类 号：R574.2[医药卫生—消化系统] R713[医药卫生—内科学]