腹腔镜诊断和治疗小肠不全梗阻的临床研究

目的探讨腹腔镜诊断和治疗小肠不全梗阻的可行性、有效性及安全性。方法回顾性分析我院2003年2月-2007年6月因小肠梗阻接受腹腔镜治疗53例的临床资料。结果本组53例中，完成腹腔镜肠粘连分解术33例；行腹腔镜肠粘连分解术及相应肠道手术18例，其中，纯腹腔镜手术11例，腹腔镜下切口定位并开放手术7例。中转开腹手术2例。腹腔镜探查诊断率达98．11％。术后有8例发生不同类型的并发症。结论腹腔镜诊断和治疗小肠不全梗阻是安全、可行的，可以选择性应用于部分小肠不全梗阻病例。

Clinical diagnosis and treatment of recurrent small bowel obstruction

Objective To evaluate the feasibility,efficacy and safety of laparoscopy in diagnosis and treatment of recurrent small bowel obstruction.Methods Retrospective analysis of 53 patients who underwent therapeutic laparoscopy for recurrent small bowel obstruction from February 2003 to July 2007 was carried out.Results Thirty-three patients were subjected to totally laparoscopic adhesiolysis.Among 18 patients subject to laparoscopic adhesiolysis and corresponding intestinal operations,simple laparoscopy was performed on 11 cases and remaining 7 were subjected to open surgery under the incision localization by laparoscopy.Two cases were converted to open surgery(3.77%).The overall diagnosis rate of laparoscopic exploration was 98.11%.Postoperative complications were seen in 8 patients to varying degrees.Conclusion Laparoscopic diagnosis and treatment of recurrent small bowel obstruction is feasible,safe and can be performed electively in selected cases.