腹腔镜手术治疗粘连性肠梗阻的疗效观察

目的：探讨使用腹腔镜手术治疗粘连性肠梗阻的效果。方法选取2008年6月～2013年4月收治的粘连性肠梗阻患者88例，随机分为试验组与对照组，试验组45例患者实施腹腔镜手术治疗，对照组43例患者实施传统开腹手术治疗，对比观察两组患者临床效果。结果试验组手术时间、术中出血量明显较少，术后排气及住院时间较短，术后需要镇痛及并发症、再梗阻发生率较低，与对照组相比P＜0.05，差异有统计学意义。结论腹腔镜肠粘连松解术是治疗粘连性肠梗阻的有效腹腔镜术式，与传统开腹术式相比，其手术时间、术中出血较少，风险低，对患者机体扰乱小，术后恢复较快，且明显降低了术后镇痛及并发症发生，具有更为理想的临床疗效。

Methods and curative effect of laparoscopic operation in the treatment of adhesive intestinal obstruction

Objective To explore the clinical treatment of adhesive intestinal obstruction in the use of laparoscopic operation, compare d with traditional open operationand observe its therapeutic effect. Methods 88 cases patients in our hospital from June 2010 to April 2013 were randomly divided into experimental group and control group.The experimental group received laparoscopic operation, the control group received traditional open operation, and observed its clinical effect. Results The experimental group operation time, amount of bleeding during operation, postoperative ambulation and hospital stay was significantly less, and the rate of analgesia, obstruction and complications were low. Compared with the control group, P〈0.05, the difference had statistical significance. Conclusion Compared to the traditional open surgery, Laparoscopic enterolysis has lower risk, faster postoperative recovery, less complications and postoperative analgesia.