腹腔镜粘连松解治疗粘连性肠梗阻的临床分析

目的：探讨腹腔镜粘连松解治疗粘连性肠梗阻的临床应用和疗效。方法选取我院在2011年1月-2013年12月收治的粘连性肠梗阻患者100例，所有患者均有腹部手术史，将所有患者根据手术方式的不同分为腹腔镜手术组和开放手术组，比较两组的手术时间、术中出血量、术后恢复肛门排气时机、下床活动时间和住院天数。结果两组患者除手术时间无明显差异（P〉0.05）外，腹腔镜手术组术中出血量、术后止痛剂使用量、术后排气时间、下床活动时间以及住院时间均明显小于开放手术组（P〈0.05）；且腹腔镜手术组术后并发症发生率和再次肠梗阻发生率明显小于开放手术组（P〈0.05）。结论腹腔镜治疗粘连性肠梗阻患者安全、有效、可行，且复发率低，值得临床推广。

Clinical analysis of laparoscopic treatment of adhesive ileus

Objective To investigate the clinical application of laparoscopic adhesiolysis and efficacy of adhesive ileus. Methods In our hospital adhesive ileus patients from January 2011 to December 2013 were treated 100 cases, all pa-tients had abdominal surgery, all patients were divided according to the different ways laparoscopic surgery group and open surgery group, operative time, blood loss, postoperative recovery time to flatus, ambulation and hospital days were compared between two groups. Results The two groups were not significantly different except for operative time（P〉0.05） outside the laparoscopic surgery group blood loss, the amount of postoperative analgesics, postoperative dis-charge time, ambulation and hospital stay were significantly less than open surgery group （P〈0.05）;and laparoscopic surgery and postoperative complication rate was significantly less than the obstruction again open surgery group （P〈0.05）. Conclusion Laparoscopic treatment of intestinal obstruction in patients with safe, effective, feasible and low recur-rence rate,worthy of promotion.