摘要
目的 比较腹腔镜与开腹肠粘连松解术的临床效果。 方法 回顾性分析 1999年 12月～ 2 0 0 2年 12月我院2 5例粘连性肠梗阻行腹腔镜肠粘连松解术 (腹腔镜组 )的临床资料 ,与同期开腹肠粘连松解术 2 3例 (开腹组 )对比 ,比较两组手术时间、术中出血量、手术并发症发生率、术后肠道功能恢复时间及住院时间。 结果 腹腔镜组 2 3例手术成功 ,2例中转开腹 ,腹腔镜组与开腹组手术时间分别为 (5 8 3± 8 1)min和 (84 0± 7 5 )min(t =11 383,P =0 0 0 0 ) ;术中出血量分别为(31 4± 5 1)ml和 (192 6± 2 6 4 )ml(t =2 9 995 ,P =0 0 0 0 ) ;术后住院时间分别为 (4 1± 1 4 )d和 (9 7± 2 0 )d(t =11 4 13,P =0 0 0 0 ) ;术后肠道功能恢复时间分别为 (19 6± 2 2 )h和 (49 0± 8 8)h(t=16 2 0 7,P =0 0 0 0 ) ;术后并发症分别为 1例和 9例 (χ2 =6 96 0 ,P =0 0 0 8)。结论 腹腔镜肠粘连松解术与开腹手术相比 ,具有手术时间短、出血少、术后恢复快和并发症少等优点。
Objective To compare the clinical efficiency between laparoscopic enterodialysis and open enterodialysis. Methods Clinical data of 25 cases of adhesive intestinal obstruction treated by laparoscopic enterodialysis (Laparoscopic Group) from December 1999 to December 2002 were retrospectively reviewed and compared with clinical records of 23 cases receiving open enterodialysis (Open Group) in the same period. The operating time, intra-operative blood loss, incidence of complications, postoperative recovery time of bowel movement and length of hospital stay of the two groups were compared, respectively. Results In the Laparoscopic Group operation was successfully accomplished in 23 cases while a conversion to open surgery was required in 2 cases. Of the Laparoscopic Group and the Open Group, the operation time was (58.3±8.1) min and (84.0±7.5) min (t=11.383, P=0.000), respectively; the intra-operative blood loss was (31.4±5.1) ml and (192.6±26.4) ml (t=29.995, P=0.000), respectively; the postoperative hospital stay was (4.1±1.4) days and (9.7±2.0) days (t=11.413, P=0.000), respectively; the postoperative recovery time of bowel function was (19.6±2.2) hours and (49.0±8.8) hours (t=16.207, P=0.000), respectively and the postoperative complications were seen in 1 case and 9 cases (χ2=6.960, P=0.008), respectively. Conclusions Compared with open enterodialysis, laparoscopic enterodialysis has advantages of short operation time, less blood loss, rapid recovery and fewer complications.
出处
《中国微创外科杂志》
CSCD
2004年第1期41-42,51,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
肠梗阻
肠粘连
Laparoscopy
Intestinal obstruction
Intestinal adhesion
