比较开腹手术与腹腔镜手术治疗腹腔粘连的效果

Comparing the effect of open surgery and laparoscopic operation in the treatment of abdominal adhesion

目的分析开腹手术与腹腔镜手术治疗腹腔粘连的临床效果。方法将2013年3月至2016年3月100例腹腔粘连患者均分为对照组与实验组,每组50例。对照组行开腹手术治疗,实验组行腹腔镜手术治疗。观察两组手术过程及术后情况,统计并发症发生率。结果实验组手术用时以及住院时间更短,术中出血量更少,术后肠蠕动恢复时间和首次排气时间更早,与对照组相比差异具有统计学意义(P<0.05);实验组患者的并发症发生率为4.0%,明显低于对照组的18.0%(P<0.05)。结论在符合手术适应症并遵循操作原则的基础上,腹腔镜肠粘连松解术用于治疗腹腔粘连效果满意,且术后较少并发症,有利于患者快速康复。

Objective To analyze the clinical effects of open surgery and laparoscopic operation in the treatment of abdominal adhesions.Methods 100 cases of abdominal adhesion patients,hospitalized during March 2013 and March 2016,were divided into the control group and the experimental group,50 cases in each group.The control group was treated with open surgery,while the experimental group was treated by laparoscopic surgery.The intraoperative and postoperative situation and incidence of complications of the two groups were observed.Results The operation time and hospitalization of experimental group were shorter than control group,and with less surgery bleeding,postoperative intestinal peristalsis recovery time and first exhaust time were earlier,there were statistical significance（ P〈0. 05）. The complications rate of experimental group was 4. 0%,which was significantly lower than of 18. 0% control group（ P〈0. 05）. Conclusions On the basis of the principle of operation and follow the principle of operation, treating laparoscopic intestinal adhesion with laparoscopic intestinal adhesion lysis,the effect is satisfied,it will induced less postoperative complications and it is conducive to the rapid recovery of patients.