腹腔镜手术治疗慢性粘连性肠梗阻临床研究

Clinical Study on Laparoscopic Surgery for Chronic Adhesive Intestinal Obstruction

目的探讨腹腔镜手术治疗慢性粘连性肠梗阻临床效果。方法收集80例医院2018年5月—2019年10月慢性粘连性肠梗阻患者,随机分组。开放手术方案组采取开放手术方案,腹腔镜手术方案组实施腹腔镜手术方案。比较效果。结果腹腔镜手术方案组血清炎性指标低于开放手术方案组,P<0.05。腹腔镜手术方案组下地活动时间、肠鸣音出现时间、首次排便时间短于开放手术方案组,P<0.05,腹腔镜手术方案组慢性粘连性肠梗阻手术并发症率低于开放手术方案组,P<0.05。结论慢性粘连性肠梗阻患者实施腹腔镜手术方案效果确切,可加速术后胃肠道功能恢复,减少并发症,减轻炎症应激。

Objective To explore the clinical effect of laparoscopic surgery for chronic adhesive intestinal obstruction.Methods 80 patients with chronic adhesive intestinal obstruction from May 2018 to October 2019 in our hospital were collected and randomly divided into groups.The open operation plan group adopts the open operation plan,and the laparoscopic operation plan group adopts the laparoscopic operation plan.Compare the effects.Results The serum inflammatory index in laparoscopic surgery group was lower than that in open surgery group(P<0.05).The activity time,occurrence time of bowel sounds and first defecation time in the laparoscopic surgery group are shorter than those in the open surgery group(P<0.05).the complication rate of chronic adhesive intestinal obstruction in the laparoscopic surgery group is lower than that in the open surgery group(P<0.05).Conclusion Laparoscopic surgery is effective for patients with chronic adhesive intestinal obstruction,which can accelerate postoperative gastrointestinal function recovery,reduce complications and relieve inflammatory stress.