CAJ | 학술논문

目的：探讨腹腔镜技术在外科治疗粘连性肠梗阻中的应用价值。方法：回顾性分析2010-2013年笔者所在医院收治的98例粘连性肠梗阻患者行手术治疗的临床资料，其中50例行腹腔镜粘连松解术治疗(试验组)，48例行开腹粘连松解术治疗(对照组)，对两组患者术中及术后情况进行综合比较。结果：试验组患者术中出血量、首次排气时间、进食时间及住院时间均明显少于对照组(P<0.05)；两组手术耗时比较差异无统计学意义(P>0.05)；试验组术后切口感染率明显低于对照组(P<0.05)。结论：腹腔镜粘连松解术治疗粘连性肠梗阻具有创伤小、恢复快及切口感染率低等优点，值得临床推广应用。
목적：탐토복강경기술재외과치료점련성장경조중적응용개치。방법：회고성분석2010-2013년필자소재의원수치적98례점련성장경조환자행수술치료적림상자료，기중50례행복강경점련송해술치료(시험조)，48례행개복점련송해술치료(대조조)，대량조환자술중급술후정황진행종합비교。결과：시험조환자술중출혈량、수차배기시간、진식시간급주원시간균명현소우대조조(P<0.05)；량조수술모시비교차이무통계학의의(P>0.05)；시험조술후절구감염솔명현저우대조조(P<0.05)。결론：복강경점련송해술치료점련성장경조구유창상소、회복쾌급절구감염솔저등우점，치득림상추엄응용。
Objective:To discuss the application value of enterolysis with laparoscope in the treatment of adhesive ileus.Method:A retrospective analysis for the clinical data of 98 cases admitted in our hospital with adhesive ileus and surgical treatment from 2010 to 2013 year,50 cases with treatment of enterolysis with laparoscope(the experimental group),48 cases with treatment of enterolysis with laparotomy surgery(the control group),and implementted comprehensive comparison for intraoperative and postoperative of the two groups.Result:The terms of intraoperative blood loss,the first time to exhaust,feeding time and hospital stay of the experimental were significantly less than of the control group(P<0.05).The operation time of two groups had no significant difference(P>0.05).The postoperative incision infection of the treatment group rate was significantly lower than the control group (P<0.05).Conclusion:Enterolysis with laparoscopy cures adhesive ileus has advantages of small trauma,rapid recovery and low incision infection rate,and worthy of clinical popularization and application.