65例粘连性肠梗阻的腹腔镜治疗体会

65 example adhesion intestinal obstruction peritoneoscope treatment experience

目的：探讨采用腹腔镜技术诊治粘连性肠梗阻的医学价值。方法：利用腹腔镜粘连松解术治疗粘连性肠梗阻65例。结果：本组腹腔镜手术成功63例，加用辅助小切口行病变段小肠切除、肠吻合术2例。本组无手术死亡病例及其他并发症发生。随防1—36个月，无梗阻症状再次复发。结论：腹腔镜肠粘连松解术具有手术时间短、病人创伤小、出血少、术后恢复快、并发症少、住院时间短等优点。

Objective：Discusses uses the peritoneoscope technology diagnosis adhesion intestinal obstruction the medicine value. Method： Uses the peritoneoscope adhesion lysis treatment adhesion intestinal obstruction 65 examples. Result： This group of perito- neoscope surgery succeeds 63 examples, adds with is auxiliary the small margin good pathological change section small intestine to excise, the intestines anastomosis 2 examples. This group of non--surgery death case and other complication occurrence. Along with against 1--36 months, the non--obstruction symptom recurs once more. Conclusions： The peritoneoscope intestinal adhesion lysis has the surgery time to be short, after the patient wound small, bleeds, the technique, few restores, the complication to be few quickly, in hospital time short and so on merits.