开腹手术切口与腹腔镜手术切口术后肠粘连发生率的比较  

Comparison of the incidence of the intestinal adhesion between open operation and laparoscopic operation

作　　者：胡明彦[1] 陈斌[1] 代少华[1] 

机构地区：[1]湖北省潜江市江汉油田中心医院腹腔镜诊疗中心,433121

出　　处：《消化外科》2002年第5期330-332,共3页Journal of Digestive Surgery

摘　　要：目的 观察开腹手术和腹腔镜手术单纯切口损伤大小导致肠粘连的差别,同时探讨腹腔镜穿刺孔缝合腹膜对预防肠粘连的意义。方法 取20只成年家兔,分别在左下腹做5 cm开腹切口、右下腹做二个0.5cm腹腔镜手术穿刺孔,左下腹切口常规丝线分层缝合,右下腹穿刺孔一个缝合腹膜,另一个不缝合腹膜。结果 左下腹切口的肠粘连率为66.67％,右下腹腹腔镜穿刺孔粘连率为4.17％,其中不缝合腹膜的为8.3％,缝合腹膜的为0。结论 单纯开腹切口损伤导致的肠粘连率显著高于腹腔镜穿刺孔;腹腔镜穿刺孔缝合腹膜对预防肠粘连无意义。Objective To evaluate the degree of intestinal adhesion between open operation and laparoscopic operation, and observe whether suturing peritoneum can prevent intestinal adhesion in the laparoscopy group. Methods There were 20 rabbits, one 5 cm long incision was done in the left lower quadrant in the laparotomy group, then the incision was sutured; two 0.5 cm long puncture hole were done in the right lower quadrant in the laparoscopy group. Peritoneum was sutured in one puncture hole and was not sutured in the other. Results The incidence of the intestinal adhesion of the laparotomy group was 66.67% , while that of the laparoscopy group was 4.17% , among which was 8.3% of suturing peritoneum, and 0% of suturing- peritoneum. Conclusions The incidence of the intestinal adhesion of open operation is apparently higher than that of laparoscopy operation. Suturing peritoneum cant prevent intestinal adhesion in the laparoscopy group.

关 键 词：切口 腹腔镜 肠粘连 开腹手术 

分 类 号：R656[医药卫生—外科学]