摘要
目的探讨腹腔镜辅助在治疗急性机械性小肠梗阻的作用。方法回顾性分析1999年1月-2005年4月10例急性机械性小肠梗阻病例的临床资料。结果10例均在腹腔镜探查中明确诊断，并明确梗阻部位及病因，在腹腔镜辅助下顺利完成手术，无须扩大切口探查和处理。手术时间20-50min，平均34min。胃肠恢复时间20-36h，平均25．4h。术后住院2-4d，平均2．8d，全部治愈。无术后并发症。6例随访6-12个月，平均9个月，均未见梗阻复发。结论在腹腔镜辅助下，急性机械性小肠梗阻实施微创治疗不仅可以及时明确诊断，而且镜下决定开腹手术最佳位置、选择最小切口、采取最适当的手术方式。
Objective To evaluate effects of laparoscopy in the treatment of acute mechanical small intestinal obstruction. Methods Clinical records of 10 cases of acute mechanical small intestinal obstruction from January 1999 to April 2005 were retrospectively analyzed. Results The diagnosis was clarified under laparoscope in all the cases, with the site and causes of the obstruction determined. Under the assistance of laparoscopy, the operation was successfully completed. The operation time was 20 - 50 min （mean, 34 min）, the time to gastrointestinal recovery was 20 - 36 h （mean, 25.4 h）, and the postoperative hospital stay, 2 - 4 d （mean, 2.8 d）. During the operation no incision was lengthened. The patients were all cured without postoperative complications. Follow -up checkups in 6 cases for 6 - 12 months （mean,9 months） found no recurrence of intestinal obstruction. Conclusions Laparoscopically assisted minimally invasive management for acute mechanical small intestinal obstruction can not only clarify the diagnosis timely, but also conclude the optimal operation incision and surgical method simultaneously.
出处
《中国微创外科杂志》
CSCD
2006年第3期190-192,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
急性机械性小肠梗阻
治疗
作用
Laparoscopy
Acute mechanical small intestinal obstruction
