择期腹腔镜手术治疗术后非绞窄性粘连性肠梗阻(附26例报告)  

Clinical experience of elective laparoscopic surgery for treating non-strangulated adhesive intestinal obstruction(a report of 26 cases )

作　　者：吴桂堂[1] 贺孝文[1] 张锐江[1] 李均贤[1] 李广权[1] 郭亮[1] 李美荣 

机构地区：[1]中山市陈星海医院(广东医学院附属中山医院)普通外科,广东中山528415 [2]中山市坦洲医院普外科,广东中山528467

出　　处：《岭南现代临床外科》2016年第3期301-303,共3页Lingnan Modern Clinics in Surgery

基　　金：广东省中山市医学科研基金项目(2016A020019)

摘　　要：目的探讨择期腹腔镜手术治疗术后非绞窄性粘连性肠梗阻临床应用及效果。方法2010年1月至2014年10月期间我院26例反复发作非绞窄性术后粘连性肠梗阻患者,急性发作经保守治疗缓解3个月后,择期采用腹腔镜手术治疗,术后早期下床活动,中药及物理治疗、液体治疗,观察术后疗效。结果26例患者腹腔镜下成功完成手术治疗,术后7~15天（9.76±2.42天）康复出院,术后随访12~60个月（34.04±12.05月）,术后未再出现肠梗阻临床表现。结论择期选用腹腔镜手术是治疗术后非绞窄性粘连性肠梗阻的一种有效治疗方法。Objective To investigate the clinical application and efficacy of elective laparoscopic surgery in treatment of non-strangulated postoperative adhesive intestinal obstruction. Methods The clinical dates from 26 cases of non-strangulated adhesive intestinal obstruction were analyzed. All patients underwent surgery of laparoscopic enterolysis after the symptoms were relieved by conservative treatment. The effect and clinical experience were reported. Results All surgical operations were completed smoothly. The patients discharged home in postoperative 7-15 days （9.76 ± 2.42 days）, and were followed for 12-60 months （34.04 ± 12.05months） without recurrence of intestinal symptoms. Conclusinon It is an effective treatment method of elective laparoscopic surgery treatment of nonstrangulated postoperative intestinal obstruction.

关 键 词：粘连性肠梗阻 腹腔镜 手术 

分 类 号：R656[医药卫生—外科学] R574.2[医药卫生—临床医学]