腹腔镜下松解术与开腹松解术治疗粘连性肠梗阻的效果观察

Laparoscopic versus Open Lysis for Adhesive Intestinal Obstruction：Therapeutic Effect Observation

为比较腹腔镜下松解术与开腹松解术治疗粘连性肠梗阻的临床效果，将59例粘连性肠梗阻患者分为腹腔镜组和开腹手术组。其中32例行腹腔镜下粘连性肠梗阻松解术，27例按传统开腹手术予以松解，记录并观察两组患者术中及术后情况。结果显示，腹腔镜组患者在手术时间、肠蠕动恢复时间、术后疼痛、再梗阻发生率及术后住院时间等指标上均明显优于开腹手术组（P〈0．05）。结果表明，相比传统的开腹手术，腹腔镜下松解术治疗粘连性肠梗阻具有手术创伤小、手术时间短、术后恢复时间短、并发症及再梗阻发生率低等优点，可作为粘连性肠梗阻的主要治疗手段。

In oredr to observe the clinical e[ficacies of laparoscopic versus open lysis [or adhesive intestinal obstruction, 59 cases were divided into laparoscopic group （ n = 32）and open group（ n = 27）. The former underwent laparoscopic lysis while the latter open [ysis. Both groups were observed during and after opera- tion. The results showed that laparoscopic group was superior to open group in operative time, recovery time for intestinal peristalsis, postoperative pain, incidence of reobstruction,postoperative hospital stay and other indicators （ P 〈0.05）. It is concluded that compared with conventional open surgery,iaparoscopic ly- sis is of being less invasive, shorter operative time,rapid recovery and lower incidence of complications and reobstruction in treating adhesive intestinal obstruction,which can be used as the main treatment method for adhesive intestinal obstruction.