腹腔镜与开腹手术治疗粘连性肠梗阻的对比研究  

Comparative study between the laparoscopy and laparotomy for the patients with adhesive intestinal obstruction

作　　者：顾爱东[1] 郭克逊[1] 周斌[1] 

机构地区：[1]徐州市第三人民医院,江苏徐州221005

出　　处：《腹腔镜外科杂志》2008年第1期35-37,共3页Journal of Laparoscopic Surgery

摘　　要：目的:比较腹腔镜与开腹手术治疗粘连性肠梗阻的临床效果。方法:回顾分析1999年6月至2006年6月施行腹腔镜手术治疗粘连性肠梗阻30例患者的临床资料,并与同期30例开腹手术对比分析。结果:平均手术时间腹腔镜组为(52±28)min,开腹手术组为(115±20)min,平均术中出血量分别为(30±15)ml和(150±35)ml,止痛剂平均用量分别为(20±18)ml和(60±19)ml,平均术后住院时间分别为(6±3)d和(11.8±4)d。腹腔镜组无一例发生并发症,开腹组发生7例,两组差异有统计学意义(P<0.05)。结论:腹腔镜治疗粘连性肠梗阻有患者创伤小、术后康复快、并发症少及住院时间短等优点。Objective：To compare the clinical effect of laparoscopy and laparotomy to treat the adhesive intestinal obstruction. Methods：The clinical data of 60 patients with adhesive intestinal obstruction underwent laparoscopic enterolysis and laparotomy were analyzed retrospectively. Results：The mean operative time was （52 ± 28 ）min and （115± 20）min in laparoscopic group and laparotomy group,the introperative blood loss was （30± 15）ml and （ 150 ±35 ） ml, the analgesic dosage was （20 ±18） ml and （60 ± 19） ml,the mean hospitalization was （6±3 ） d and （ 11.4±4 ） d. No complications occured in laparoscopic group while 7 cases did in the laparotomy group. There were significant difference between laparoscopy and laparotomy. Conclusions ： The laparoscopic enterolysis has many advantages such as short operative time, rapid recovery,less complications and trauman and shorter hospitalization.

关 键 词：肠梗阻 对比研究 腹腔镜术 治疗效果 

分 类 号：R656.7[医药卫生—外科学]