摘要
目的:探讨粘连性肠梗阻患者采用腹腔镜下肠粘连松解术治疗的临床效果。方法:随机将2015年1月～2017年1月期间收治的76例粘连性肠梗阻患者分为两组(n=38),参照组采用开腹肠粘连松解术,试验组采用腹腔镜下肠粘连松解术,比较两组患者术后的治疗效果。结果:两组术前的PA、PCT指标对比差异不明显(P>0.05),试验组术后PA、PCT水平改善程度明显优于参照组,且患者的手术时间、出血量、肠胃功能恢复时间、并发症及复发率都明显低于参照组,组间对比差异有统计学意义(P<0.05)。结论:粘连性肠梗阻采用腹腔镜下肠粘连松解术治疗,能缩短手术用时,加快肠胃功能的恢复,有助于改善患者的手术预后,适合用于临床推广。
Objective:To explore the clinical effect of laparoscopic intestinal adhesion release on patients with adhesive intestinal obstruction.Methods:76 cases of adhesive intestinal obstruction treated from January 2015 to January 2017 were randomly divided into two groups(n=38).The control group was treated with open intestinal adhesions lysis,and the experimental group was treated with laparoscopic intestinal adhesion lysis.The therapeutic effects of two groups were compared.Results:There was no significant difference in the comparison of preoperative PA and PCT indexes between the two groups(P>0.05).The improvement of postoperative PA and PCT level in the experimental group was significantly better than that in the control group,and the postoperative blood loss,gastrointestinal function recovery time,complications and recurrence rate of patients were significantly lower than those in the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Laparoscopic enterolysis for adhesive intestinal obstruction can shorten the operation time,accelerate the recovery of gastrointestinal function,and help improve the prognosis of patients with adhesion ileus,which is suitable for clinical application.
作者
耿红超
Geng Hongchao(Department of General Surgery,Xiangcheng People's Hospital,Xuchang 461700)
出处
《数理医药学杂志》
2019年第3期348-349,共2页
Journal of Mathematical Medicine
关键词
粘连性肠梗阻
腹腔镜
肠粘连松解术
疗效
adhesive intestinal obstruction
laparoscopy
intestinal adhesion release
curative effect
