腹腔镜粘连松解术治疗粘连性肠梗阻的临床疗效分析  

Clinical Efficacy of Laparoscopic Adhesiolysis in the Treatment of Adhesive Intestinal Obstruction

作　　者：吴亚明 邹明慧 黄书福 Wu Yaming;Zou Minghui;Huang Shufu(Department of General Surgery,Xuwen People's Hospital,Zhanjiang 524100)

机构地区：[1]徐闻县人民医院普外科,湛江524100

出　　处：《数理医药学杂志》2021年第3期323-325,共3页Journal of Mathematical Medicine

摘　　要：目的:分析腹腔镜粘连松解术治疗粘连性肠梗阻的临床疗效。方法:纳入某院2017年3月~2019年3月收治的粘连性肠梗阻患者92例,分组方法以“随机数字表法”分为对照组和观察组各46例,对照组患者采纳传统手术治疗,观察组患者采纳腹腔镜粘连松解术治疗,对比两组手术指标、VAS评分、炎症因子指标、并发症。结果:观察组手术时间、首次排气时间、下床活动时间、住院时间明显比对照组短,观察组术中出血量、VAS评分、CRP因子水平明显比对照组低,观察组并发症发生率(2.17%)显著比对照组(17.39%)低(P<0.05)。结论:腹腔镜粘连松解术可有效缩短粘连性肠梗阻患者治疗时间,减轻疼痛感,减少炎症介质释放,降低并发症发生率,值得借鉴。Objective:To analyze the clinical effect of laparoscopic adhesiolysis in the treatment of adhesive intestinal obstruction.Methods:92 patients with adhesive intestinal obstruction admitted to a hospital from March 2017 to March 2019 were divided into two groups by random number table method.46 patients in the control group were treated with traditional surgery and 46 patients in the observation group were treated with laparoscopic adhesiolysis.The operative indexes,VAS scores,inflammatory factors,and complications were compared between the two groups.Results:The operation time,the first exhaust time,the time of getting out of bed and hospitalization in the observation group were significantly shorter than those in the control group.The bleeding volume,VAS score and CRP factor levels in the observation group were significantly lower than those in the control group.The incidence of complications in the observation group(2.17%)was significantly lower than that in the control group(17.39%),P<0.05.Conclusion:Laparoscopic adhesiolysis can effectively shorten the treatment time,relieve pain,reduce the release of inflammatory mediators,and reduce the incidence of complications in patients with adhesive intestinal obstruction,which is worthy of reference.

关 键 词：开腹手术 腹腔镜粘连松解术 粘连性肠梗阻 临床疗效 

分 类 号：R574.2[医药卫生—消化系统]