目的:探讨腹腔镜肠粘粘连松解术治疗粘连性肠梗阻的手术方法及并发症发生原因.方法:回顾分析2009年4月至2012年6月为10例粘连性肠梗阻患者行腹腔镜粘连松解术的临床资料.结果:10例均顺利完成腹腔镜手术,无一例中转开腹.手术时间30～60 min,平均(45±11) min；术中出血量10 ～ 20 ml,平均(15±3) ml.术后6～24h均可下地活动,术后持续胃肠减压,排气时间1～3d.患者均痊愈出院,术后随访2～12个月,腹部切口愈合良好,无肠漏及再次粘连性肠梗阻发生,效果满意.结论:腹腔镜肠粘连松解术具有操作简单、术后康复快、复发率低、节省费用等优点,可明显降低再次形成粘连及再发肠梗阻的可能性,值得推广应用.%Objective:To investigate the surgical methods and complications of laparoscopic enterodialysis for the treatment of adhesive intestinal obstruction. Methods: The clinical data of 10 patients who underwent laparoscopic enterodialysis for adhesive intestinal obstruction between Apr. 2009 and Jun. 2012 were analyzed retrospectively. Results: Operations were conducted successfully in all 10 patients with no conversion to open surgery. The operation time was 30-60 min.mean (45 ± 11) min;The intraoperative blood loss was 10-20 ml,mean (15 ± 3) ml. Patients can take ambulation within 6-24 h. Continuous gastrointestinal decompression was conducted in all patients,and the exsufflation time was 1-3 d. During a 12 months' follow-up,all patients had a satisfying recovery of incision with no complications as intestinal leakage and obstruction. Conclusions: Laparoscopic enterolysis is a simple and economical procedure that has the advantage of quicker recovery and lower recurrency rate, and could dramatically decrease the possibility of recurrence of intestinal adhesion and obstuction, it is worth of promotion.
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