腹腔镜手术治疗肠梗阻的临床体会  

The clinical experience of treatment of bowel obstruction with laparoscopy

作　　者：李国胜[1,2] 刘俊英[1] 胡三元[1] 

机构地区：[1]山东大学齐鲁医院,山东济南250012 [2]山东铝业公司医院

出　　处：《腹腔镜外科杂志》2011年第10期768-770,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨应用腹腔镜技术诊治肠梗阻的可行性及安全性。方法:回顾分析2004年10月至2010年5月应用腹腔镜技术诊治37例肠梗阻患者的临床资料。其中粘连性肠梗阻29例,乙状结肠扭转3例,小肠肿瘤3例,美克尔憩室2例。结果:37例均成功完成腹腔镜手术,患者顺利出院。术后随访12～81个月,35例(94.59%)完全治愈,1例(3.70%)因术后胃癌复发死亡,1例(3.70%)肠梗阻复发。结论:腹腔镜手术治疗肠梗阻安全有效,下床活动早,肠功能恢复快,可推广应用。Objective： To explore the feasibility and safety of diagnosis and treatment of bowel obstruction with laparoscopy. Methods ：The clinical data of 37 patients with bowel obstruction treated with laparoscopy between Oct. 2004 and May 2010 were retro- spectively analyzed,which included 29 adhesive ileus,3 volvulus of sigmoid colon,3 intestinal tumor and 2 Meckel diverticulum. Re- suits：The 37 cases underwent laparoscopic operation and all patients were discharged successfully. The follow-up ranged from 12 months to 81 months. 35 patients （94.59%） were completely healed,1 patient （3.70%） died from recurrence of gastric cancer,and 1 patient （3.70%） experienced recurrence of bowel obstruction. Conclusions：h is safe and feasible to treat bowel obstruetion with laparoscopy,which has such advantages as early out-of-bed activity and recovery of intestinal function. This procedure should be popularized.

关 键 词：肠梗阻 腹腔镜检查 

分 类 号：R656.7[医药卫生—外科学]