经腹腔镜粘连松解术在阑尾切除术中的应用

The application of laparoscopic adhesiotang to laparoscopic appendectomy

目的 探讨腹腔镜粘连松解术对阑尾切除术后发生肠粘连的预防作用。方法 1996年 5月～ 2 0 0 2年 10月经腹腔镜行阑尾切除术 5 80例 ,术中发现腹腔内粘连者 6 2例 ,术中均采用腹腔镜行粘连松解术。结果 病人术后全部顺利康复 ,随访 5 2例 ,3～ 2 4月 ,未发现肠粘连症状。结论 部分阑尾炎腹腔内粘连发生于术前 ,术中及时发现和处理术前发生的腹腔内粘连对减少术后肠粘连的发生有重要作用。

Objective: To study the prevention of postoperative bowel adhesion of appendectomy through laparoscopic adhesiotomy. Methods: 580 patients underwent laparoscopic appendectomy from May 1996 to October 2002, including intra-abdominal adhesion in 62 cases, and laparoscopic adhesiotomy was successful in all 62 patients. Results: All patients were recovered from appendectomy postoperative follow-up was obstained in 52 patients from three months to twenty-four months. The symptom of bowel adhesion wasn't found in all patients. Conclusion: Intra-abdominal adhesion appeared in preoperation of some patients of appendicitis. The timely finding and intra-abdominal adhesion processing are very important to reduce the occurance of postoperative bowel adhesion.