摘要
目的探析顽固性粘连性肠梗阻患者采取腹腔镜手术治疗的临床疗效及预后效果。方法选取2016年1月—2021年2月江苏省南京市六合区人民医院普通外科收治的40例顽固性粘连性肠梗阻患者,将其随机分成两组,实施开放性手术治疗与腹腔镜手术治疗患者,分别纳入对照组与观察组,各20例。观察两组围术期指标,评估两组疼痛程度,查看患者并发症及复发情况。结果经手术治疗,观察组术中出血量、下床时间、胃肠功能恢复时间、住院时间均少于对照组,差异有统计学意义(P<0.05)。经临床干预,观察组手术时间、切口长度、导尿管拔除时间各指标和对照组相比明显更优,差异有统计学意义(P<0.05)。观察组术后24 h视觉模拟评分(VAS)评分少于对照组,差异有统计学意义(P<0.05)。对照组发生出血、感染等并发症患者共8例,其发生率高达40%,高于观察组(10%),差异有统计学意义(χ^(2)=4.800,P<0.05)。观察组梗阻复发患者1例,复发率仅为5%,少于对照组7例(35%),差异有统计学意义(χ^(2)=3.906,P<0.05)。结论顽固性粘连性肠梗阻患者经腹腔镜手术治疗,患者复发风险低,治疗安全性更高,预后效果更优。
Objective To investigate the clinical efficacy and prognosis of laparoscopic surgery in patients with refractory adhesive intestinal obstruction.Methods A total of 40 patients with intractable adhesive intestinal obstruction who were admitted to the General Surgery Department of the People′s Hospital of Liuhe District,Nanjing City,Jiangsu Province from January 2016 to February 2021 were selected and randomly divided into two groups for open surgery and laparoscopic surgery.The patients were divided into the control group and the observation group,20 cases in each group.The perioperative indexes of the two groups were observed,the pain degree of the two groups was evaluated,and the complications and recurrence of the patients were checked.Results After surgical treatment,the intraoperative blood loss,getting out of bed time,gastrointestinal function recovery time,and hospital stay in the observation group were all less than those in the control group,and the differences were statistically significant(P<0.05).After clinical intervention,the indexes of operation time,incision length,and catheter removal time in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).The VAS score of pain in the observation group at 24 hours after operation was lower than that in the control group,and the difference was statistically significant(P<0.05).There were 8 patients with complications such as bleeding and infection in the control group,and the incidence was as high as 40%,which was much higher than that in the observation group(10%),and the difference was statistically significant(χ2=4.800,P<0.05).There was 1 patient with recurrence of obstruction in the observation group,and the recurrence rate was only5%,which was less than 7 cases that in the control group(35%),and the difference was statistically significant(χ2=3.906,P<0.05).Conclusion Laparoscopic surgery for patients with refractory adhesive intestinal obstruction has a lower risk of
作者
陈永兵
黄晓远
CHEN Yongbing;HUANG Xiaoyuan(General Surgery,People′s Hospital of Liuhe District,Nanjing,Jiangsu Province,211500 China)
出处
《世界复合医学》
2022年第8期125-128,共4页
World Journal of Complex Medicine
关键词
腹腔镜手术
顽固性粘连性肠根阻
临床疗效
预后效果
Laparoscopic surgery
Intractable adhesive intestinal obstruction
Clinical efficacy
Prognosis
