摘要
目的:建立分阶段中西医结合与腹腔镜微创手术联合治疗急性粘连性肠梗阻的方案,并评估该方案的可行性、有效性和优势。方法:39例急性粘连性肠梗阻,在急性期行中西医结合非手术治疗,在缓解期根据是否具备指征选用腹腔镜粘连松解术,术后再用中药治疗。施行上述三阶段治疗者为三阶段中西医结合微创治疗组。治疗后随访1年以上,比较治疗结果。结果:三阶段治疗组复发率5.1%,显著低于中西医结合非手术组的29.3%和开腹手术组的21.4%。结论:分阶段中西医结合微创联合治疗粘连性肠梗阻,效果明显优于其他任何单一治疗方式。
Objective To establish a scheme, in which the integrated traditional Chinese and western medicine as well as laparoscopic surgery to be carried out by three stages, in the treatment of acute adhesive intestinal obstruction, and to evaluate the feasibility, effectiveness and superiority of the scheme. Method Thirty - nine patients suffering from acute adhesive intestinal obstruction were initially conservatively managed with integrated traditional Chinese and western medicine in the acute phase. In the remission phase, patients accepted laparoscopic adhesiolysis according to the indication of laparoscopic surgery. Herbal medicine was then used after surgery. These patients treated differently in three stages formed the 3 - phased combined treatment group （3PCTG） of integrated traditional Chinese and western medicine and minimally invasive surgery. A second group （n = 41） was treated by integrated medicine nonoperatively, and the third group （n = 42） by laparotomy. Results The recurrence rate in 3 PCTG was 5.1%, significantly lower than that in the second group （29.3%） and in the third group （21.4%） respectively. Conclusion The scheme, which is the combined treatment of integrated traditional Chinese and western medicine and minimally invasive surgery, can be carried out by stages, and weights over any other operative or nonoperative treatment.
出处
《中国中西医结合外科杂志》
CAS
2009年第4期369-371,共3页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
天津市科学技术进步2007年度二等奖项目(2007JB-2-039-D1)
关键词
急性粘连性肠梗阻
中西医结合
腹腔镜
acute adhesive intestinal obstruction, integrated traditional Chinese and western medicine, laparoscopy
