中西医结合与腹腔镜手术联合微创治疗急性肠梗阻的临床疗效观察

目的探讨中西医结合与腹腔镜手术联合微创治疗急性肠梗阻的临床疗效。方法回顾性分析广州市白云区人民医院外科2001年10月至2009年10月收治的146例粘连性肠梗阻患者临床资料,随机分为两组,治疗组73例,施行中西医结合联合腹腔镜手术治疗粘连性肠梗阻,对照组73例,采取腹腔镜手术治疗粘连性肠梗阻。结果两组均无死亡病例,治疗组平均手术时间为(65±18)min,对照组平均手术时间为(64±19)min,两组比较差异无统计学意义(P>0.05);治疗组患者平均首次排气时间为(1.3±1.2)d,对照组平均首次排气时间(2.1±1.8)d,两组比较差异显著(P<0.01);治疗组并发症发生率为4.1%(6/146),对照组并发症发生率为11.6%(17/146),两组比较差异具有统计学意义(P<0.05);治疗组平均住院时间为(7.2±4.3)d,对照组平均治疗时间为(9.3±4.7)d,两组比较差异具有统计学意义(P<0.05);治疗组平均住院费用为(6964±2539)元,对照组平均住院费用为(7534±2813)元,两组比较差异具有统计学意义(P<0.05)。结论中西医结合与腹腔镜手术联合微创治疗粘连性肠梗阻患者创伤小、术后恢复快、并发症少及住院时间短、住院费用少等优点。

The Clinical Observation of Chinese and Western Medicine Combined with Laparoscopic Surgery and Minimally Invasive Treatment of Acute Intestinal Obstruction

Objective To explore the combination of Chinese and Westem medicine combined with minimally invasive laparoscopic surgery in the clinical efficacy of the treatment of acute intestinal obstruction. Methods Retrospective analysis of surgery in Baiyun people＇s hospital from October 2001 to October 2009 were treated 146 cases of clinical data in patients with adhesive intestinal obstruction were randomly divided into two groups, treatment group 73 cases, the purposes of the combined Chinese and Western medicine treatment of adhesive intestinal laparoscopic surgery obstruction in the control group,73 patients taking laparoscopic surgery adhesive intestinal obstruction. Results There were no deaths in the treatment group mean operative time was （65±18） min, control group, mean operative time was （64±19） min, no significant difference between the two groups （P〉0.05）; the treatment group The average time for the first time, exhaust （1.3±1.2） d, the control group mean time to first exhaust time （2.1±1.8） d, significant difference between the two groups （P 〈 0.01）; treatment group complication rate was 4.1% （6/146）, the control group complication rate was 11.6% （17/146）, the difference was statistically significant （P〈0.05）; The treatment group complication rate was 4.1% （6/146）, the control group complication rate was 11.6%（17/146）, the difference was statistically significant （P 〈 0.05）; treatment group, average length of stay （7.2±4.3）d, the average treatment time of the control group （9.3±4.7）d, statistically significant difference between the two groups （P〈0.05）; The average hospitalization cost of the treatment group （6964±2539）yuan, the control group mean hospitalization costs （7534±2813） yuan, the difference was statistically significant （P〈0.05）. Conclusion Chinese and Western medicine combined with laparoscopic surgery and minimally invasive treatment of adhesive intestinal obstruction in patients with trauma, faster postoperative recovery, fewer complications and shorter hospital stay and hospitalization cost less and so on.