手术治疗粘连性肠梗阻的方法及效果

Method and Effect of Surgical Treatment of Adhesive Intestinal Obstruction

目的研究手术治疗粘连性肠梗阻的方法及效果。方法采取回顾总结性研究对苏州科技城医院与苏州九龙医院于2012年2月—2016年2月期间接诊治疗的粘连性肠梗阻患者180例,经随机分组后,观察组90例,行腹腔镜下粘连松解手术,对照组90例,行传统开腹手术进行治疗,对其治疗效果以及不良并发症进行汇总分析。结果在治疗中,两组患者的手术时间、下床活动时间、住院时间、切口感染率、镇痛用药情况分别为观察组:(71.5±9.2)min、(25.6±7.2)h、(6.3±2.5)d、1例、14例,对照组则为(128.6±9.8)min、(41.2±7.2)h、(11.3±4.2)d、12例、28例,两组患者的治疗结果经对比,P<0.05,差异有统计学意义。出院随访的6个月调查中,复发率分别为观察组6例,对照组20例,经统计分析,P<0.05。结论腹腔镜粘连松解手术相比较开腹手术的治疗效果,有较多优势,切口感染率极低,可进行推广应用治疗。

Objective To study the method and effect of surgical treatment of adhesive intestinal obstruction. Methods Retrospectively study of Suzhou science and technology city hospital and Suzhou Kowloon Hospital in February 2012 to February 2016 during the month of admissions for treatment of patients with adhesive ileus 180 cases, after randomization, observation group(90 cases) and laparoscopic adhesion loose solution operation, 90 cases in the control group, underwent conventional open surgery for treatment, the treatment effect and complications were collected and analyzed.Results In treatment, two groups of patients at the time of surgery, get out of bed activity time, hospitalization time, incision infection rate, analgesic drug use were observation group:(71.5±9.2)min(2.56±7.2)h,(6.3±2.5)d, 1 cases, 14 cases and control group(128.6±9.8)min,(41.2±7.2)h,(11.3±4.2)d, 12 cases, 28 cases, treatment of two groups of patients results by comparison, P < 0.05, indicating that conforms to the statistical significance. During the 6 months of follow-up,the recurrence rate was 6 cases in the observation group and 20 cases in the control group. The recurrence rate was statistically analyzed, P < 0.05. Conclusion Compared with open surgery, laparoscopic lysis of adhesions has more advantages and low infection rate, which can be applied in the treatment of abdominal adhesions.