不同手术方法治疗粘连性肠梗阻的临床效果比较

目的 探讨开腹手术及腹腔镜手术治疗粘连性肠梗阻的临床效果.方法 对2012年1月～2013年9月间来我院治疗的108例粘连性肠梗阻患者的临床资料进行回顾性分析,将患者按照治疗的意愿分为两组,研究组57例,采用腹腔镜手术治疗;对照组51例,采用开腹手术治疗,比较两组患者临床疗效、术中出血量、手术时间、住院时间及生活质量.结果 研究组的治愈率（70.17％）及总有效率（96.49％）明显高于对照组（56.86％、84.31％）,术中出血量少于对照组,手术时间及平均住院时间短于对照组,两组差异有统计学意义（P＜0.05）.研究组治疗后1个月的食欲、精神、睡眠、疼痛、疲乏、日常生活、治疗副作用各项目评分及总分与治疗前比较明显升高,并且明显高于同期对照组,差异有统计学意义（P＜0.05）.结论 粘连性肠梗阻患者采用腹腔镜手术治疗效果显著,减少了术中出血量,安全性高,能促进患者生活质量的提高.

Analysis on clinical effects of different surgical methods in treatment of intestinal obstruction

Objective To investigate the clinical effects of different surgical methods for treating intestinal obstruction Methods The clinical data of 108 cases with intestinal obstruction collected from January 2012 to September 2013 in our hospital were retrospectively analyzed, they were divided into two groups according to the treatment wishes, the study group included 57 cases, they were used peritoneal mirror surgery, the control group included 51 cases, they were used open surgery, The clinical efficacy, blood loss, operative time, hospital stay, and quality of life of the two groups were compared. Results The cure rate（70.17%） and total efficiency（96.49%） of the study group were significantly higher than control group （56.86% vs 84.31%）, less blood loss than the control group, the operation time and average length of stay were shorter than the control group, the difference was significant （P 〈0.05）. The appetite, mental, sleep, pain, fa- tigue, daily life, treatment side effects and compare each item score and total score of the study group after one month of treatment was significantly higher than before treatment, and was significantly higher than the control group on the same period, the difference was significant （P 〈0.05）. Conclusion Intestinal obstruction in patients with laparoscopic surgical treatment significantly reduced blood loss, high security, to improve quality of life for patients.