摘要
目的探讨腹腔镜技术治疗粘连性肠梗阻的临床效果。方法回顾分析应用腹腔镜治疗粘连性肠梗阻52例的临床资料。结果腹腔镜手术成功46例,成功率88%,5例由于腹腔广泛严重粘连而中转剖腹行粘连松解,1例因回盲部肿瘤中转开腹手术。平均手术时间80min,术中出血10～50mL,术后平均住院5d。无手术死亡病例及其他并发症发生。随访3～60个月无症状复发。结论腹腔镜松解术治疗术后肠粘连不仅具有创伤少、恢复快、费用少、痛苦轻、瘢痕小等微创外科的优点,而且再度粘连率低。
Objective To the value of application of laparoscopy in the diagnosis and treatment of adhesive ileus. Methods The clinical data of 52 patients with adhesion intestinal obstruction who underwent laparoscopic enterolysis were analyzed retrospctively. Results Laparoscopic operations were performed successfully in 46 cases. The successful rate was 88%. 5cases were converted to laparotomy. The enterolysis and plication of intestine were performed to these 5 cases. The mean operative time was 80min, The introperative blood loss was 10 - 50mL and mean hospitalization was 5 days. There was no death or other complications. Conclusion The laparoseopic enterolysis has many advantages such as short operation time, miniml trauma, rapid recovery, low postoperative complications and short hospitalization.
出处
《河南外科学杂志》
2011年第4期10-12,共3页
Henan Journal of Surgery
关键词
腹腔镜
肠粘连
松解术
Intestinal obstruction
Laparoscopy
Diagnosis
Treatment outcome
