腹腔镜肠粘连松解术加防粘连膜治疗粘连性肠梗阻

Clinical Study of Laparoscopic Adhesion Lysis and Antiadhesive Membrane in the Treatment of Adhesive Intestinal Obstruction

目的:探讨腹腔镜肠粘连松解术加防粘连膜治疗粘连性肠梗阻的临床效果。方法:选取鄢陵县人民医院治疗粘连性肠梗阻的患者72例作为研究对象,时间2015年6月至2017年6月,采用随机分组法分为对照组与观察组,各36例。对照组采用传统开腹手术进行治疗。观察组采用腹腔镜肠粘连松解术加防粘连膜进行治疗,比较两组患者的治疗效果。结果:观察组总有效率为35例(97.22%),对照组总有效率为30例(83.33%),且比较两组患者的社会功能、生理功能、情感功能评分,观察组明显优于对照组,差异具有统计学意义(P <0.05)。结论:采用腹腔镜肠粘连松解术加防粘连膜对粘连性肠梗阻患者进行治疗,其治疗效果显著,并发症少,可有效改善患者的临床症状。

Objective To investigate the clinical effect of laparoscopic enterostomy and anti-adhesion membrane in the treatment of adhesive intestinal obstruction. Methods Seventy-two patients with adhesive intestinal obstruction in Yanling County People＇s Hospital were selected as research objects. Control group using traditional open surgery for treatment. The observation group was treated with laparoscopic gut adhesion and anti-adhesion membrane, and the therapeutic effect was compared between the two groups. Results The total effective rate of the observation group was 35 cases（97.22 %）, while the total effective rate of the control group was 30 cases（83.33 %）. The comparison of the social function, physiological function and emotional function score between the two groups showed that the observation group was superior to the observation group The control group, the difference was statistically significant（P〈0.05）, comparable. Conclusion Laparoscopic lysis of adhesions and anti-adhesion membrane in the treatment of patients with adhesive intestinal obstruction, the treatment effect is significant, fewer complications, which can effectively improve the clinical symptoms of patients.