摘要
目的比较腹腔镜下松解术与开腹松解术治疗粘连性肠梗阻、减少其术后并发症的临床效果。方法对59例粘连性肠梗阻患者，32例给予腹腔镜下粘连性肠梗阻松解术，27例按传统开腹手术予以松解。记录并观察两组患者术中及术后情况。结果腹腔镜组患者在手术时间（t=12．135，P=0．002）、肠蠕动恢复时间（t=9．053，P=0．001）、术后镇痛例数（x2=8．346，P=0．004）、再梗阻发生率（x2=4．863，P=0．026）、术后住院时间（t=4．724，P=0．028）等指标上均明显优于开腹手术组，两组间差异均有统计学意义（均P〈0．05）。结论相比传统的开腹手术，腹腔镜下粘连性肠梗阻松解术具有手术创伤小、手术时间短、术后恢复时间短、并发症及再梗阻发生率低等特点，可作为粘连性肠梗阻主要治疗手段加以推广。
Objective To compare the treament to adhesion ileus between laparoscopic surgery and tradition- al surgery. Methods 59 cases of patients with adhesion ileus were selected. 32 patients were given laparoscopic ad- hesion ileus loose solution method. And the other 32 patients were given traditional surgery. Results The operation time（ t = 12. 135 ,P = 0. 002 ）, peristalsis recovery time （ t = 9. 053, P = 0. 001 ）, postoperative infection rate （ X2 = 8. 346,P = 0.004）, obstruction again （ x2 = 4. 863, P = 0. 026 ） and hospital stays （ t = 4. 724, P = 0. 028 ） in laparoscopic surgery group was significantly better. The differences between both groups were statistically significant （P 〈 0. 05）. Conclusion Compared with the traditional open surgery,laparoscopic adhesion ileus loose solution with surgical trauma is small. Operation time and the postoperative recovery time is short, It can be used as the main treatment of adhesion ileus.
出处
《中国基层医药》
CAS
2013年第6期845-846,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肠梗阻
腹腔镜检查
消化系统外科手术
Intestinal obstruction
Laparoscopy
Digestive system surgical procedures
