摘要
目的比较粘连性肠梗阻治疗中微创术式与开腹术式的效果。方法选取我院2016年4月至2017年4月收治的64例粘连性肠梗阻患者,按照手术方式不同分为研究组(32例)和对照组(32例)。对照组选用开腹手术,研究组选用腹腔镜微创手术。对比两组疗效。结果治疗后,两组VAS评分均降低,且研究组低于对照组(P<0.05);研究组住院时间、肠蠕动恢复时间、手术时间、术后下床时间均短于对照组(P<0.05);研究组治疗费用、术中出血量均少于对照组(P<0.05);研究组并发症总发生率低于对照组(P<0.05)。结论在粘连性肠梗阻治疗中,微创术式的应用效果明显优于开腹术式,值得推广运用。
Objective To compare the effects of minimally invasive surgery and open surgery in the treatment of adhesive intestinal obstruction.Methods Sixty-four patients with adhesive intestinal obstruction admitted in our hospital from April 2016 to April 2017 were divided into study group(32 cases)and control group(32 cases)according to different surgical methods.The control group was treated with open surgery,the study group underwent laparoscopic minimally invasive surgery.The efficacy of the two groups were compared.Results After treatment,the VAS scores of both groups decreased and that in the study group was lower than the control group(P<0.05).The hospitalization time,recovery time of bowel movements,operation time and postoperative time to get out of bed of the study group were shorter than those of the control group(P<0.05).The treatment cost and intraoperative blood loss amount of the study group were less than those of the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion The minimally invasive surgery in the treatment of adhesive intestinal obstruction has better application effect than that of open surgery,which is worthy of popularization.
作者
李文鹏
李桥涛
LI Wen-peng;LI Qiao-tao(General Surgery Department,Traditional Chinese Medicine Hospital of Yulin City,Yulin 719000,China)
出处
《临床医学研究与实践》
2018年第35期66-67,共2页
Clinical Research and Practice
关键词
微创手术
开腹手术
粘连性肠梗阻
minimally invasive surgery
open surgery
adhesive intestinal obstruction
