微创治疗粘连性肠梗阻

Minimally invasive treatment in adhesive intestinal obstruction

目的:探索中西医结合疗法与腹腔镜技术分阶段联合微创治疗粘连性肠梗阻的效果。方法:粘连性肠梗阻31例,在急性期以中西医结合疗法辨证施治,解除急性梗阻;缓解期行腹腔镜粘连松解术,根除梗阻。结果:31例急性期经中西医结合治疗,肠梗阻均解除。缓解期行腹腔镜粘连松解术,成功26例(83.9％);中转开腹手术5例(16.1％)。腹腔镜粘连松解术后胃肠功能恢复时间0.5-2d;术后住院2-4d。26例腹腔镜粘连松解术后随访,均未再发肠梗阻表现,治愈率100％。结论:中西医结合与腹腔镜联合微创治疗粘连性肠梗阻中转开腹率低,并发症发生率低,术后效果好,无再发梗阻。

Objective:To explore the effect of laparoscopic and combination of traditional Chinese medicine and western medicine treatment in adhesive intestinal obstruction.Methods:Thirty- one patients suffering from adhesive intestinal obstruction were treated with combination of traditional Chinese medicine and western medicine in acute phase.In remission phase laparoscopy was performed to resolve the adhension.so the obstruction was cured. Results: All of the 31 patients were remitted the obstruction in acute phase by combination of traditional Chinese medicine and western medicine.In remission phase,26 patients were managed laparoscopically(83.9%).5 cases were converted to open laparotomy (16.1 %). The recovery period of intestinal of function was 0.5 - 2 days. The postoprative stay was 2-4 days. 26 patients treated laparoscopically were followed up, none of them recurred. Conclusion: The treatment of adhesive intestinal obsrtuction by laparoscopy and combination of traditional Chinese medicine and western medicine appears low convertion and complication rate.