腹腔镜手术治疗急性粘连性肠梗阻疗效分析

Clinical efficacy of laparoscopic surgery for acute intestinal obstruction

目的 探讨腹腔镜手术治疗急性粘连性肠梗阻的安全可行性及临床疗效.方法 本研究选取2012年8月-2014年8月期间,采用腹腔镜手术对47例急性粘连性肠梗阻实施手术治疗的患者.结果 41例患者腹腔镜手术顺利完成,成功实施了肠粘连松解术;3例因严重粘连,无法分离而中转开腹;1例因术中出血而中转开腹;2例因术中探查发现肿瘤,开腹行肿瘤切除术;无严重并发症及死亡病例.结论 腹腔镜手术治疗急性粘连性肠梗阻安全可行,并且具有创伤小、恢复快等优点,尤其在腹腔探查中优势显著,值得在临床中进一步推广.

Objective To investigate the feasibility,safety and clinical efficacy of acute iutestinal obstruction by laparoscopic surgery.Methods We selected 47 patients with acute intestinal obstruction implementation from August 2012 to August 2014,and used laparoscopic surgery on these cases.Results Forty-one cases of laparoscopic surgery were successfully completed,the successful implementation of the enterolysis;due to severe adhesions,laparotomy cannot be separated in three cases;two cases due to intraoperative exploration found in the tumor;one case due to surgery bleeding and laparotomy cannot be completed;no cases with serious complications and no deaths.Conclusion Laparoscopic surgery for acute intestinal obstruction is feasible and safe,with less trauma,quicker recovery,especial ly in the abdominal exploration in significant advantage,it is worthy of further promotion in clinic.