CAJ | 학술논문

目的：：探讨腹腔镜与开腹手术治疗粘连性肠梗阻的临床疗效。方法：回顾性分析2011年2月~2013年2月至我院行手术治疗的粘连性肠梗阻患者68例,其中34例行腹腔镜手术,为腹腔镜组；34例行开腹手术,为开腹组。对比分析两组患者的临床治疗效果。结果：平均手术时间腹腔镜组为(81.7±18.2)min,开腹组为(84.2±17.4)min,术中出血量为(40.2±13.7)ml和(135.2±27.3)ml,术后肛门排气时间为(12.7±4.3)h和(41.2±15.2)h,住院时间为(6.2±3.7)d和(13.2±3.2)d,腹腔镜组术中出血量少于开腹组,术后排气及住院时间均短于开腹组,差异具有统计学意义(P.<0.05)；两组患者手术时间差异不大,无统计学意义(P>0.05)。腹腔镜组有一例发生并发症,开腹组有6例发生并发症,腹腔镜组并发症发生率显著低于开腹组,差异有统计学意义(P.<0.05)。结论：腹腔镜治疗粘连性肠梗阻创伤小,术后恢复快,患者住院时间短的特点,在有条件的前提下应尽量采用腹腔镜治疗。
목적：：탐토복강경여개복수술치료점련성장경조적림상료효。방법：회고성분석2011년2월~2013년2월지아원행수술치료적점련성장경조환자68례,기중34례행복강경수술,위복강경조；34례행개복수술,위개복조。대비분석량조환자적림상치료효과。결과：평균수술시간복강경조위(81.7±18.2)min,개복조위(84.2±17.4)min,술중출혈량위(40.2±13.7)ml화(135.2±27.3)ml,술후항문배기시간위(12.7±4.3)h화(41.2±15.2)h,주원시간위(6.2±3.7)d화(13.2±3.2)d,복강경조술중출혈량소우개복조,술후배기급주원시간균단우개복조,차이구유통계학의의(P.<0.05)；량조환자수술시간차이불대,무통계학의의(P>0.05)。복강경조유일례발생병발증,개복조유6례발생병발증,복강경조병발증발생솔현저저우개복조,차이유통계학의의(P.<0.05)。결론：복강경치료점련성장경조창상소,술후회복쾌,환자주원시간단적특점,재유조건적전제하응진량채용복강경치료。
Objective:To compare the clinical effect of laparoscopy and laparotomy in treatment of patients with adhesive intensive obstruction.Methods:Retrospectively analyzed the clinical data of 68 patients with adhesive intensive obstruction underwent laparoscopic enterolysis(34 patients) and laparolomy(34 patients).Results:the mean operative time of laparoscopy group and laparotomy group was(81.7±18.2)min and(84.2±17.4)min, the intraoperative blood loss was(40.2±13.7)ml and(135.2±27.3)ml, the flatus time was(12.7±4.3)h and(41.2±15.2)h, the hospitalization was (6.2±3.7)d and(13.2±3.2)d, 1 complication occurred in laparoscopic group while 6 cases did in the laparotomy group. there was significant between two groups in intraoperative blood loss, flatus time, hospitalization and complication.Conclusion:The clinical effect of laparoscopic enterolysis in treatment of patients with adhesive intensive obstruction is more satisfied, it has a better recovery and less trauma.