粘连性肠梗阻选用腹腔镜肠粘连松解术治疗的疗效探讨  

作　　者：高恒岭[1] 吕绪昆[1] 李树亮[1] 

机构地区：[1]聊城市第二人民医院普通外科,山东临清252600

出　　处：《中华临床医师杂志（电子版）》2016年第7期59-60,共2页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的 探讨腹腔镜肠粘连松解术治疗粘连性肠梗阻的疗效.方法 选取2009 年3 月~2015 年5 月期间在我院行腹腔镜肠粘连松解术的35 例患者作为研究组,以同期行开腹术的30 例患者为对照组,比较两组手术治疗的疗效以及术后并发症发生情况.结果 研究组35例患者均顺利完成腹腔镜手术,无一例中转开腹;研究组患者的手术时间,术后住院时间,恢复进食时间,下床活动时间均显著优于对照组（P〈0.01）;研究组患者仅1 例发生肠管浆肌层损伤,并发症总发生率（2.86%vs20.00%）显著低于对照组（P〈0.05）.结论 腹腔镜肠粘连松解术治疗粘连性肠梗阻手术切口小,成功率高,术后患者恢复快,预后良好,值得临床推广使用.Objective to investigate the effects of laparoscopic surgical intestinal adhesion release curative effect for the treatment of adhesiveintestinal obstruction. Method selection in March 2009 to May 2015 in our hospital during laparoscopic surgical intestinal adhesion release of 35patients as a team, in line at the same time open surgery as the control group, 30 patients compared two groups of the curative effect of surgical treatmentand postoperative complications. Results 35 patients of study group were successfully completed laparoscopic surgery, none of the cases converted toopen surgery; Group of patients with operation time, hospital stay, postoperative recovery time of food intake, ambulation time were significantly betterthan that of control group （P 〈 0.01）; Team with only 1 case occurred insufflate pulp muscular injury, incidence of complications of total vs20.00 %（2.86%） was significantly lower than control group （P 〈 0.05）. Conclusion laparoscopic treatment of intestinal adhesion release adhesion ileus smallincision, high success rate, quicker recovery of patients, the prognosis is good, worthy of clinical promotion.

关 键 词：粘连性肠梗阻 腹腔镜 粘连松解术 疗效 

分 类 号：R656[医药卫生—外科学]