不同手术时机开展腹腔镜下粘连性肠梗阻术的临床效果对比

Comparison of Clinical Effects of Laparoscopic Adhesive Intestinal Obstruction under Different Surgical Timing

目的探讨不同手术时机开展腹腔镜下粘连性肠梗阻术的临床效果。方法选取我院2016年1月～2018年1月收治的粘连性肠梗阻患者120例,按就诊时间分为研究组和对照组,每组60例,均进行腹腔镜下粘连性肠梗阻术治疗。研究组于就诊48 h内手术,对照组于就诊48 h后手术,观察两组临床疗效、并发症情况(腹腔感染、切口感染、肠坏死、出血)、临床指标(住院时间、排气时间、胃肠道功能恢复时间)、生活质量(生理功能、情感、活力、总体健康)。结果研究组总有效率高于对照组(91.67%vs 76.67%),并发症发生率低于对照组(11.67%vs 30.00%),差异具有统计学意义(P<0.05)。研究组住院时间、排气时间、胃肠道功能恢复时间均优于对照组,差异具有统计学意义(P<0.05)。研究组生理功能、情感、活力、总体健康评分均高于对照组,差异具有统计学意义(P<0.05)。结论就诊48 h内实施腹腔镜下粘连性肠梗阻术的临床效果显著,可以明显改善生活质量和预后,提高治疗效果,安全性较高。

Objective To investigate the clinical effects of laparoscopic adhesive intestinal obstruction under different surgical timings. Methods A total of 120 patients with adhesive intestinal obstruction admitted to our hospital from January 2016 to January 2018 were enrolled. The patients were divided into study group and control group according to the time of treatment. 60 patients in each group underwent laparoscopic adhesive intestinal obstruction.The study group was operated within 48 hof the visit, and the control group was operated 48 h after the visit. The clinical efficacy and complications (abdominal infection, wound infection, intestinal necrosis, hemorrhage) and clinical indicators (hospitalization time, exhaust time,Gastrointestinal function recovery time), quality of life (physiological function, emotion, vitality, overall health). Results The total effective rate of the study group was higher than that of the control group (91.67% vs 76.67%), and the complication rate was lower than that of the control group (11.67% vs 30.00%),the difference was statistically significant (P<0.05). The hospitalization time, exhaust time and gastrointestinal function recovery time of the study group were better than the control group,the difference was statistically significant (P<0.05). The physiological function, emotion, vitality and overall health score of the study group were higher than the control group,the difference was statistically significant (P<0.05). Conclusion The clinical effect of laparoscopic adhesive intestinal obstruction within 48 h of treatment is significant, which can significantly improve the quality of life and prognosis, improve the therapeutic effect, and have higher safety.