腹腔镜手术治疗急性粘连性肠梗阻的临床效果分析

Clinical Effects of Laparoscope Surgery on the Treatment of the Adhesive Intestinal Obstruction

目的:探讨腹腔镜手术处理急性粘连性肠梗阻的临床效果,为普外科手术提供参考。方法:选取2012年2月-2013年3月我院收治的74例急性粘连性肠梗阻患者的临床资料进行回顾分析。根据手术方式不同,将病例分为对照组和腹腔镜组,每组37例,对照组实施开腹手术,腹腔镜组行微创治疗。观察并比较两组患者的术中出血量、手术时间、下床活动时间、肠蠕动恢复时间、住院时间、复发率及术后并发症等。结果:腹腔镜组手术时间为(67.82±9.57)min,术中出血量为(296.48±33.24)mL,肠蠕动恢复时间为(11.12±1.33)d,下床活动时间为(6.05±1.85)d,住院时间为(8.44±1.63)d,复发率为10.81%,并发症发生率为13.51%;对照组手术时间为(88.16±8.94)min,术中出血量为(482.32±24.21)mL,肠蠕动恢复时间为(18.18±1.09)d,下床活动时间为(8.47±1.23)d,住院时间为(11.28±1.91)d,复发率为19.44%,并发症发生率为30.55%;腹腔镜组各项指标均优于对照组,差异显著具有统计学意义(P<0.05)。结论:腹腔镜手术用于治疗急性粘连性肠梗阻具有手术时间短、出血少及并发症发生率低等优势,效果显著值得临床推广。

Objective： To explore the clinical efficacy of the laparoscope surgery on the treatment of the adhesive intestinal obstruction so as to make a reference to the clinical surgery. Methods： A relxospective analysis was performed about the clinical data of 74 patients with adhesive intestinal obstruction who were treated in our hospital from February 2012 to March 2013. According to the different operation methods, the selected patients were divided into the control group and the laparoscopic group with 37 cases in each one. The patients in the control group were received the open surgery while the patients in the laparoscopic group were treated by the laparoscope. Then the operation time, the blood loss, the time of intestinal recovery, the rate of recurrence, the incidence of complications and the hospitalization of patients were compared and analyzed. Results： In the laparoscopic group, the operation time was （67.82± 9.57） min, the blood loss was （296.48± 33.24） mL, the rate of recurrence was 10.81%, the incidence of complications was 13.51%; In the control group, the operation time was （88.16± 8.94） min, the blood loss was （482.32± 24.21） mL, the rate of recurrence was 19.44%, the incidence of complications was 30.55%. The clinical indicators of the laparoscopic group were significantly better than those of the control group with statistically differences （P〈0.05）. Conclusions： The laparoscope surgery is worthy of promoting to treat the adhesive intestinal obstruction with the advantages of obvious clinical efficacy, shorter time and lower incidence of complications.