腹腔术后肠粘连的治疗的临床研究

[目的]针对不同类型腹腔手术后肠粘连类型,探讨适当的腹腔术后肠粘连治疗方法,提高腹腔术后肠粘连治愈率。[方法]总结分析某院外科腹腔术后肠粘连患者的治疗结果,探讨腹腔术后肠粘连的治疗有效措施。[结果]30例腹腔术后肠粘连患者进行保守治疗13人,腹腔镜松解术治疗17人,其中好转3人,痊愈25人,无效1人,手术中转开腹1人,治愈率83。其中进行保守治疗患者13例,经保守治疗后粘连吸收痊愈9例,好转3例,梗阻症状加重1例,治愈率69;行腹腔镜肠粘连松解术患者17例,在腹控镜下完成16例,1例因腹部广泛弥漫性粘连中转开腹,治愈率94。平均手术时间(90.00±6.88)min,病程(6.25±0.56)d,术中没有出现并发症和死亡病例。[结论]针对不同的腹腔术肠粘连原因和类型应选择不同的治疗方法,可有效提高腹腔术后肠粘连疗效。

CLINICAL STUDY ON THE TREATMENT OF POSTOPERATIVE ABDOMINAL ADHESION

[Objective]For different types of abdominal adhesion types after surgery,to discuss the appropriate treatment of abdominal postoperative adhesion and improve the cure rate of abdominal adhesions after surgery.[Methods]Summarized and analyzed the treatments for patients with abdominal adhesion after abdominal surgery in our hospital,discussed the effective measures of treatment.[Results]13 patients of conservative treatment and laparoscopic lysis treatment of 17 people in 30 patients with abdominal adhesions...