摘要
目的:探讨腹腔镜肠粘连松解术治疗粘连性肠梗阻的应用价值。方法:回顾分析35例粘连性肠梗阻患者行腹腔镜肠粘连松解术的临床资料。结果:28例手术成功,效果良好,无并发症发生,随访12~60个月无复发。7例中转开腹,4例因肠管间团状粘连或板块状粘连,2例因术中分破肠壁,1例因肠管形成内疝致肠绞窄坏死。结论:腹腔镜肠粘连松解术在严格掌握手术适应证的前提下安全可靠,具有患者创伤小、痛苦轻、瘢痕小、康复快、治疗费用少等优点,且再粘连率低。
Objective :To explore the clinical value of laparoscopic enterolysis for adhesive intestinal obstruction. Methods:The retrospective analysis was carried out on 35 cases of adhesive intestinal obstruction that underwent laparoseopic enterolysis. Results: Twenty-eight cases were successful without any complications. In the follow-up of 12-60 months, no recurrence occurred. Seven cases were transferred to open surgery because of cluster or tabulate adhesion between intestine (n = 4), intestinal disruption (n = 2 ), and intestinal strangulation and necrosis with internal hernia ( n = 1 ). Conclusions : When indications are followed strictly, laparoscopie enterolysis is safe and reliable, which has many advantages such as minimal trauma,less pain, smaller scar, more rapid recovery,less pay, and lower recurrences.
出处
《腹腔镜外科杂志》
2009年第6期421-423,共3页
Journal of Laparoscopic Surgery
关键词
腹腔镜术
肠梗阻
肠粘连松解术
Laparoscopy
Intestinal obstruction
Enterolysis