腹腔镜手术治疗粘连性肠梗阻预后情况分析  

Analysis of the Prognosis of Laparoscopic Surgery for Adhesive Intestinal Obstruction

作　　者：王旭强[1] 刘志春[1] WANG Xuqiang;LIU Zhichun(Department of First General Surgery,Tianshui First People's Hospital,Tianshui,Gansu Province,741000 China)

机构地区：[1]天水市第一人民医院普外一科,甘肃天水741000

出　　处：《系统医学》2024年第5期124-127,共4页Systems Medicine

摘　　要：目的分析腹腔镜手术治疗粘连性肠梗阻预后情况。方法选取2018年5月—2023年5月天水市第一人民医院罹患粘连性肠梗阻疾病患者80例,按随机抽签法分为对照组、研究组,每组40例,对照组用开腹肠粘连松解术治疗,研究组用腹腔镜肠粘连松解术治疗,比较两组手术相关指标、炎症因子、免疫功能、生存质量、止痛药物使用率和粘连性肠梗阻复发率。结果研究组出血量比对照组少,研究组各项时间指标比对照组短,差异有统计学意义(P均<0.05)。治疗后,研究组C反应蛋白、白细胞介素-6均低于对照组,CD3^(+)、CD4^(+)、CD8^(+)水平均高于对照组,各生存质量项评分高于对照组,差异有统计学意义(P均<0.05)。研究组止痛药物使用率、粘连性肠梗阻复发率分别为10.00%、5.00%,均低于对照组,差异有统计学意义(χ^(2)=4.021、4.114,P均<0.05)。结论粘连性肠梗阻患者采取腹腔镜手术,能够优化患者预后效果,保障患者安全性。Objective To analyze the prognosis of laparoscopic surgery for adhesive intestinal obstruction.Methods A total of 80 patients suffering from adhesive intestinal obstruction in the First People's Hospital of Tianshui City from May 2018 to May 2023 were selected and divided into control group and study group by random drawing method,with 40 cases in each group.The control group was treated with open intestinal adhesiolysis,while the study group was treated with laparoscopic intestinal adhesiolysis.Operation-related indexes,inflammatory factors,immune function,quality of life,utilization rate of analgesic drugs and recurrence rate of adhesive intestinal obstruction were compared between the two groups.Results The blood loss of the study group was less than that of the control group,and the time indexes of the study group were shorter than that of the control group,and the differences were statistically significant(all P<0.05).After treatment,the levels of C-reactive protein and interleukin-6 in the study group were lower than those in the control group,the levels of CD3^(+),CD4^(+)and CD8^(+)were higher than those in the control group,and the scores of all quality of life items were higher than those in the control group,and the differences were statistically sig⁃nificant(all P<0.05).The utilization rate of analgesic drugs and the recurrence rate of adhesive intestinal obstruction in the study group were 10.00%and 5.00%,lower than those in the control group,and the differences were statisti⁃cally significant(χ^(2)=4.021,4.114,both P<0.05).Conclusion Laparoscopic surgery in patients with adhesive intestinal obstruction can optimize the prognosis of patients and guarantee their safety.

关 键 词：粘连性肠梗阻 腹腔镜手术 预后情况 

分 类 号：R656.7[医药卫生—外科学]