腹腔镜手术和开腹手术在粘连性肠梗阻治疗中的应用

Application of laparoscopic surgery and open surgery in the treatment of adhesive ileus

目的:探讨腹腔镜手术和开腹手术治疗粘连性肠梗阻的疗效。方法:收治粘连性肠梗阻患者200例,随机分为观察组和对照组各100例,观察组行腹腔镜手术,对照组行开腹手术。结果:观察组患者平均住院时间、手术时间、拔除尿管所需时间以及手术伤口长度、术中总出血量均优于对照组(P<0.05);观察组术后并发症发生率明显低于对照组(P<0.05)。结论:腹腔镜手术治疗粘连性肠梗阻效果更好,术后并发症发生率更低。

Objective:To investigate the efficacy of laparoscopic surgery and open surgery in the treatment of adhesive intestinal obstruction.Methods:200patients with adhesive intestinal obstruction were selected.They were randomly divided into the observation group and the control group with100cases in each.The observation group underwent laparoscopic surgery,and the control group underwent open surgery.Results:The average hospitalization time,operation time,catheter removal time and incision length and intraoperative bleeding volume in the observation group were better than in the control group(P<0.05);the incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Laparoscopic surgery has better effect in the treatment of adhesive intestinal obstruction,and the incidence of postoperative complications was lower.