胡伟

[摘要] 目的 评价腹腔镜粘连松解术治疗粘连性肠梗阻的临床效果及安全性。 方法 选取2010年6月～2013年5月本院收治的粘连性肠梗阻患者40例，随机分为观察组和对照组，其中观察组20例，采用腹腔镜粘连松解术治疗，对照组20例，采用常规开腹手术治疗，观察并比较两组的手术时间、术中出血量、腹痛消失时间、胃肠功能恢复时间及并发症发生率。 结果 观察组的手术时间、腹痛消失时间及胃肠功能恢复时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P＜0.05）。观察组的并发症发生率为10%，对照组的并发症发生率为35%，两组比较差异有统计学意义（P＜0.05）。 结论 采用腹腔镜粘连松解术治疗粘连性肠梗阻不仅可有效解除粘连，而且有创伤小、出血量少、患者恢复快、并发症发生率低等优点，并可预防再粘连的发生，值得临床推广应用。

[关键词] 腹腔镜；粘连松解术；肠梗阻；疗效

[中图分类号] R616.2[文献标识码] B[文章编号] 1674-4721（2014）05（b）-0171-02

Effect observation of laparoscopic adhesiolysis in the treatment of intestinal obstruction

HU Wei

Department of General Surgery,People′s Hospital of Wushan County in Chongqing City,Wushan404700,China

[Abstract] Objective To evaluate the clinical efficacy and safty of laparoscopic adhesiolysis in the treatment of intestinal obstruction. Methods 40 cases of patients with intestinal obstruction from June 2010 to May 2013 in our hospital were selected and randomly divided into observation group and control group.Laparoscopic adhesiolysis was used in observation group(20 cases) and conventional open surgery was used in control group(20 cases).Operative time,blood loss,abdominal pain duration,gastrointestinal function recovery time and the incidence rate of complication in two groups was compared respectively. Results Operative time,abdominal pain duration,gastrointestinal function recovery time in observation group was shorter than that in control group respectively,blood loss in observation group was less than that in control group,with statistical difference(P＜0.05).The incidence rate of complication in observation group was 10%,the incidence rate of complication in control group was 35%,with statistical difference(P＜0.05). Conclusion Laparoscopic adhesiolysis in the treatment of intestinal obstruction not only can effectively relieve adhesions,but also has advantages including small trauma,less bleeding,patients recover faster and lower complication rate can prevent re-occurrence of adhesions,it is worthy of promotion and application in clinic.

[Key words] Laparoscopic;Adhesionlysis;Obstruction;Efficacy

粘连性肠梗阻是常见的腹部外科疾病之一，通常由手术、创伤或腹腔内感染引起，其中手术引起约占80%[1]。临床研究表明，传统开腹手术虽能清除粘连，但手术创伤大，并发症较多，随着腹腔镜技术的发展，腹腔镜粘连松解术逐渐被广泛应用于临床，成为目前治疗粘连性肠梗阻的首选方式[2]。近年来，本院对所收治的患者进行分组研究，评价腹腔镜粘连松解术治疗粘连性肠梗阻的临床疗效。

1 资料与方法

1.1 一般资料

选取2010年6月～2013年5月本院收治的粘连性肠梗阻患者40例，男28例，女12例；……