腹腔镜与开腹手术治疗粘连性肠梗阻的效果对比、  

作　　者：李毅[1] 

机构地区：[1]四川省成都市都江堰市医疗中心外3科,四川成都611830

出　　处：《检验医学》2016年第B09期245-246,共2页Laboratory Medicine

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及体会。方法回顾性分析113例粘连性肠梗阻患者的临床资料，将其随机分为观察组61例与对照组52例，其中观察组采用腹腔镜手术治疗，对照组采用传统开腹手术治疗，比较两组患者的各项手术指标。结果观察组与对照组手术时间差异无统计学意义（P〉0.05），余者观察组的术中出血量、肠胃功能恢复时间、术后排气时间等均显著优于对照组（P〈0.05）；对照组有16例患者出现并发症，复发19例，观察组则有7例患者出现术后并发症，复发6例，观察组术后并发症发生率及术后复发率显著低于对照组（P〈0.05）。结论相比传统的开腹手术，腹腔镜手术治疗粘连性肠梗阻手术效果更好，预后效果更好，具有较高的应用价值。Objective To compare the clinical effect and experience of laparoscopic and open surgery in the treatment of adhesive in- testinal obstruction. Methods a retrospective analysis of the clinical data of 113 cases of adhesive intestinal obstruction patients, ran- domly divided to observation group （61 cases） and control group （52 cases）. The observation group by laparoscopic surgery, the control group treated with traditional open surgery, patients in the two groups were compared the operation indexes. ResuLts observation group and control group operation time difference was not statistically significant （P〉0.05）, more than those in the observation group were bleeding, gastrointestinal function recovery time, postoperative exhaust time were significantly better than control group （P〈 0.05） ; the control group of 16 cases of patients with complications, recurrence in 19 cases, the observation group had 7 cases of patients with postoperative complications, recurrence in 6 cases were observed after the postoperative complication rate and postoperative recurrence rate was significantly lower than that of the control group （P〈0.05）. ConcLusion compared with traditional open surgery, laparoscopic surgery in the treatment of adhesive intestinal obstruction is better, and the prognosis is better, and it has high application value.

关 键 词：腹腔镜 开腹手术 粘连性肠梗阻 

分 类 号：R656[医药卫生—外科学]