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腹腔镜在肠粘连松解术中的应用体会 被引量:4

Experience in application of laparoscopic enterolysis
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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
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  • 1庄祥云.粘连性肠梗阻的腹腔镜下手术治疗[J].日本医学介绍,1994,15(5):222-223. 被引量:15
  • 2王强,范列英.卡铂复合液腹腔内化疗时对成纤维细胞胶原合成和腹腔粘连的影响[J].癌症,1996,15(6):433-435. 被引量:12
  • 3于奇 靳君.经腹腔镜治疗肠粘连初探[J].安徽医科大学学报,1996,31:584-584.
  • 4于奇 靳君.经腹腔镜治疗肠粘连探讨[J].安徽医科大学学报,1996,31(6):584-584.
  • 5吴浩荣 王浩炜 等.腹腔镜肠粘连15例临床分析[J].中华普通外科杂志,1999,14(5):340-340.
  • 6吴浩荣 王浩炜 吴斌 等.腹腔镜肠粘连松解术15例临床分析[J].中华普通外科杂志,1999,14:340-340.
  • 7沈魁.提高粘连性肠梗阻的治疗效果[A].见:何三光主编.中国外科专家经验文集[C].沈阳:沈阳出版社,1993.467.
  • 8Vijay K,Anindya C,Bhanu P,et al.Adhesive small bowel obstruction (ASBO) in children--role of conservative management[J].Med J Malaysia,2005,60:81-84.
  • 9Hayanga AJ,Bass-Wilkins K,Bulkley GB.Current management of small-bowel obstruction[J].Adv Surg,2005,39:1-33.
  • 10Borzellino G,Tasselli S,Zerman G,et al.Laparoscopic approach to postoperative adhesive obstruction[J].Surg Endosc,2004,18:686-690.

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