电子胃镜代腹腔镜在肠粘连诊治中的临床应用(附7例报告)  

Clinical application of electronic gastroscopy instead of laparoscope in diagnosis and treatment of intestinal adhesion(7 cases)

作　　者：王利 晏勇 唐榛 张雪 文黎明[1] LiWang;Yong Yan;Zhen Tang;Xue Zhang;Li-ming Wen(Department of Gastroenterology,404th Hospital,Mianyang,Sichuan 621000,China;Clinical Medicine College,Southwest Medical University,Luzhou,Sichuan 646000,China)

机构地区：[1]四川绵阳四〇四医院消化内科,四川绵阳621000 [2]西南医科大学临床医学院,四川泸州646000

出　　处：《中国内镜杂志》2022年第8期86-90,共5页China Journal of Endoscopy

摘　　要：目的探讨电子胃镜行粘连松解术在诊治粘连性肠梗阻中的应用价值。方法回顾性分析7例电子胃镜代替腹腔镜行粘连松解术治疗粘连性肠梗阻患者的临床资料。结果7例患者术后腹痛均消失,随访2~48个月,均未再发腹痛和腹胀。结论经脐电子胃镜诊治粘连性肠梗阻优势大,可同时行粘连松解术等镜下操作,具有安全、经济、疗效确切和恢复快等优点,值得临床推广。Objective To investigate the application value of adhesiolysis by electronic gastroscopy in diagnosis and treatment of adhesive ileus.Methods 7 cases of adhesive ileus treated with adhesiolysis by electronic gastroscopy instead of laparoscopy were retrospectively analyzed.Results Postoperative abdominal pain disappeared,and there was no recurrence of abdominal pain and abdominal distension during 2~48 months follow up.Conclusion Transumbilical electronic gastroscopy has considerable advantages in diagnosis and operation of adhesive ileus.It can be used for endoscopic treatment of adhesiolysis at the same time.It has the advantages of safety,economy,accurate curative effect and quick recovery,which is worthy of clinical promotion.

关 键 词：粘连松解术 肠粘连 粘连性肠梗阻 电子胃镜 腹腔镜 

分 类 号：R574.2[医药卫生—消化系统]