腹腔镜与开腹手术治疗粘连性肠梗阻的对比研究

目的：比较腹腔镜与开腹手术治疗粘连性肠梗阻的临床效果。方法：回顾分析1999年6月至2006年6月施行腹腔镜手术治疗粘连性肠梗阻30例患者的临床资料，并与同期30例开腹手术对比分析。结果：平均手术时间腹腔镜组为（52±28）min，开腹手术组为（115±20）min，平均术中出血量分别为（30±15）ml和（150±35）ml，止痛剂平均用量分别为（20±18）ml和（60±19）ml，平均术后住院时间分别为（6±3）d和（11．8±4）d。腹腔镜组无一例发生并发症，开腹组发生7例，两组差异有统计学意义（P〈0．05）。结论：腹腔镜治疗粘连性肠梗阻有患者创伤小、术后康复快、并发症少及住院时间短等优点。

Comparative study between the laparoscopy and laparotomy for the patients with adhesive intestinal obstruction

Objective:To compare the clinical effect of laparoscopy and laparotomy to treat the adhesive intestinal obstruction.Methods:The clinical data of 60 patients with adhesive intestinal obstruction underwent laparoscopic enterolysis and laparotomy were analyzed retrospectively.Results:The mean operative time was(52±28)min and(115±20)min in laparoscopic group and laparotomy group,the introperative blood loss was(30±15)ml and(150±35)ml,the analgesic dosage was(20±18)ml and(60±19)ml,the mean hospitalization was(6±3)d and(11.4±4)d.No complications occured in laparoscopic group while 7 cases did in the laparotomy group.There were significant difference between laparoscopy and laparotomy.Conclusions:The laparoscopic enterolysis has many advantages such as short operative time,rapid recovery,less complications and trauman and shorter hospitalization.