摘要
目的对比粘连性肠梗阻采用腹腔镜肠粘连松解术与开腹粘连松解术的临床疗效和并发症。方法对120例因粘连性肠梗阻而进行手术治疗患者术前、术中及术后临床临床资料进行归纳,对腹腔镜和开腹两种不同术式的疗效进行分析。结果 120例患者中,有64例患者因粘连性肠梗阻而采用腹腔镜肠粘连松解术,术后半年~2年的随防,没有复发肠梗阻而再次手术,全部患者治愈,无肠瘘发生。因急诊入院,而选择开腹粘连松解或肠切除吻合术患者56例,术后半年~2年的随访,其中有9例患者又发粘连性肠梗阻而入院手术,占开腹组手术患者的16.0%。结论粘连性肠梗阻急诊入院患者以开腹粘连松解为主要术式;非急诊入院患者,则应选择腹腔镜下粘连松解术。通过疗效分析及术后随访,腹腔镜下粘连松解术相比开腹粘连松解术,手术时间更短、出血和并发症更少、术后恢复更快,是一种安全可靠的治疗粘连性肠梗阻的方法。
Objective To compare the effect and complictions of open enterodialysis and caparoscopic enterodialysis.Method The clinical data of 120 patients with intestinal obstraction were analyzed.The effects of open enterodialysis and laparoscopic enterodialysis were compared.Results Of 120 patients,there were 64 cases treated with laparoscopic intestinal adhesion lysis.They were flowed up for 6 months to 2years without recurrence and intestnal fistula.They were 56 emergency patients treated with open intestinal adhesion lysis or intestnal resection and anastomosis.There were9cases（16.0%）with recurrence flowed up for 6months to 2years.Conclusion Open intestinal adhesion lysis is major method for emergency patients with intestinal obstruction.The Laparoscopic intestinal adhesion lysis is suitable for nonemergency patients with intestinal obstruction.
出处
《西部医学》
2015年第7期1046-1048,1051,共4页
Medical Journal of West China
关键词
腹腔镜
手术方法
粘连性肠梗阻
Laparoscopic
Surgical method
Intestinal obstruction
