腹腔镜手术治疗粘连性肠梗阻的临床效果观察

摘要

目的 探讨腹腔镜手术治疗粘连性肠梗阻(AIO)的临床疗效.方法 2014年11至2015年11月四川省人民医院胃肠外科收治的AIO患者41例,其中22例实施腹腔镜下粘连松解术(腹腔镜组),19例实施开腹手术(对照组),比较两组术中及术后相关指标.结果 两组手术时间差异无统计学意义(P＞0.05),腹腔镜组患者肛门通气时间、拔尿管时间以及住院天数均短于对照组(P＜0.05),术中术后并发症及随访1年复发率均明显低于对照组,差异有统计学意义(P＜0.05).结论 腹腔镜手术治疗粘连性肠梗阻疗效较好,复发率低,患者接受程度高,术中要规范操作,严格把握适应证.%Objective To investigate the clinical effect of laparoscopic surgery for adhesive intestinal obstruction (AIO).Methods Forty-one AIO patients from November 2014 to November 2015 were treated in Sichuan Provincial Hospital.Of these patients,22 were treated with laparoscopic surgery (laparoscopic group) while 19 cases were treated with open surgery (control group).The relative indexes were compared between the two groups.Results The operation time between two groups was similar (P ＞ 0.05),but in the aspects of anal ventilation time,extubation time and hospitalization time in the laparoscopic group were shorter than that in the control group (P ＜ 0.05).The incidence of complications and 1-years recurrence rate in the laparoscopic group were lower than that in the control group (P ＜ 0.05).Conclusion The laparoscopic surgery in the treatment of AIO is better and the recurrence rate is lower with high degree of acceptance.However,the operation should be standardized and strictly grasp the indications.