腹腔镜治疗粘连性肠梗阻的探讨

TO EXPLORE THE LAPAROSCOPIC TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION

目的探讨腹腔镜治疗粘连性肠梗阻的应用价值和适应证。方法腹腔镜治疗粘连性肠梗阻患者22例。结果18例成功完成腹腔镜粘连松解术;3例转为腹腔镜辅助小切口粘连松解术;1例中转开腹手术。21例腹腔镜手术患者住院时间为4～8d,平均6.5d。随访3～24个月,平均18个月,均未见肠梗阻复发。结论腹腔镜治疗粘连性肠梗阻安全可行,具有创伤小、恢复快、再粘连机会少等优点,具有临床应用价值。

Objective To explore the value and indication of laparoscopic treatment for adhesive intestinal obstruction. Methods Laparoscopic enterolysis was applied in 22 cases of adhesive intestinal obstruction. Results Among them 18 patients were treated by laparoscopic enterolysis, 3 patients were converted to open surgery with micro-incision and ! patient was converted to open operation. The hospitalization was between 4 days and 8 days with an average of 6.5 days. The follow-up period was between 3 months and 2 years with an average of 18 months. No intestinal obstruction recurred. Conclusion It was salt and feasible for laparoscopic treatment of adhesive intestinal obstruction with the advantages of slight wound, quick recovery and few recurrence. The laparoscopic treatment of adhesive intestinal obstruction has the clinical practice value.