腹腔镜与开腹手术治疗粘连性肠梗阻的效果分析  

Analysis of Effect of Laparoscopic Surgery and Laparotomy in Treatment of Adhesive Ileus

作　　者：贺永军[1] 

机构地区：[1]江苏省句容市人民医院普外科,江苏句容212400

出　　处：《系统医学》2017年第16期72-74,共3页Systems Medicine

摘　　要：目的研究并比较腹腔镜与开腹手术治疗粘连性肠梗阻的临床效果。方法选取2015年1月—2017年1月期间该院收治的100例粘连性肠梗阻患者作为研究对象,采取计算机随机数字分组法将患者随机分为A组、B组,每组50例患者,A组患者采取开腹手术治疗,B组患者采取腹腔镜手术治疗,比较两组患者的手术情况、术后恢复情况、并发症发生率、术后疼痛评分。结果 A组、B组的手术时间[(68.94±14.68)min vs(69.65±15.72)min]比较差异无统计学意义(P>0.05),但B组的术中出血量(41.72±18.39)m L、切口长度(2.15±0.97)cm均小于A组的(124.85±57.65)m L、(7.24±3.28)cm(P<0.05);B组的排气恢复时间(17.56±2.73)h、下床活动时间(14.82±1.84)h、住院时间(3.29±1.07)d均短于A组的(21.37±3.65)h、(16.94±2.13)h、(4.76±1.39)d(P<0.05);B组的并发症发生率(2%)明显低于A组的14%(P<0.05);手术后各个时间段,B组的疼痛评分均低于A组(P<0.05)。结论相比于开腹手术,腹腔镜手术治疗粘连性肠梗阻可有效减轻手术创伤,减少术后并发症,还可减轻术后疼痛,有利于加快术后恢复,可作为临床治疗粘连性肠梗阻的理想术式。Objective To research and compare the clinical effect of Laparoscopic surgery and laparotomy in treatment of adhesive ileus. Methods 100 cases of patients with adhesive ileus admitted and treated in our hospital from January2015 to January 2017 were selected as the research objects and randomly divided into two groups with 50 cases in each, the group A and group B were respectively treated with Laparoscopic surgery and laparotomy, and the operation situation, postoperative recovery, incidence rate of complications, and postoperative pains scores were compared between the two groups. Results The difference in the operation time between the group A and group B was not statistically significantx [（68.94±14.68）min vs（69.65±15.72）min]（P〉0.05）, and the intraoperative bleeding amount and cut length in the group B were lower than those in the group A, [（41.72 ±18.39）m L,（2.15 ±0.97）cm vs（124.85 ±57.65）m L,（7.24 ±3.28）cm]（P 〈0.05）, and the exhaust recovery time, time to get out of bed, length of stay in the group B were shorter than those in the group A, [（17.56 ±2.73）h,（14.82±1.84）h,（3.29±1.07）d vs（21.37±3.65）h,（16.94±2.13）h,（4.76±1.39）d]（P〈0.05） and the incidence rate of complications in the group B was obviously lower than that in the group A,（2% vs 14%）（P〈0.05）, and the pain scores in the group B was lower than those in the group A at various time phases（P〈0.05）. Conclusion Compared with the laparotomy, the laparoscopic surgery in treatment of adhesive ileus can effectively relieve the operation wound, reduce the postoperative complications, relieve the postoperative pains, and it is conducive to accelerating the postoperative recovery, and it can be used as an ideal method in treatment of adhesive ileus.

关 键 词：粘连性肠梗阻 腹腔镜 开腹手术 

分 类 号：R657[医药卫生—外科学]