CAJ | 학술논문

目的：研究分析腹腔镜手术与传统手术治疗粘连性肠梗阻的临床治疗效果。方法选择我院收治的80例粘连性肠梗阻患者。将所有患者按照随机数字法分为观察组和对照组两组，每组各40例。给予观察组患者腹腔镜粘连性肠梗阻松解术，对照组患者进行传统开腹松解术。对比观察两组患者的术后住院时间、恢复肠蠕动时间、手术时间、术后镇痛率以及梗阻再发率情况。结果观察组患者的术后住院时间、恢复肠蠕动时间以及手术时间都明显短于对照组患者，两组之间的差异具有统计学意义（P＜0.05）。观察组患者在术后镇痛率和梗阻发生率都明显低于对照组患者，两组间的差异具有统计学意（P＜0.05）。结论对于粘连性肠梗阻患者采取腹腔镜松解术能够有效缩短患者手术时间和住院时间，减少患者并发症和再梗阻率，值得临床推广运用。
목적：연구분석복강경수술여전통수술치료점련성장경조적림상치료효과。방법선택아원수치적80례점련성장경조환자。장소유환자안조수궤수자법분위관찰조화대조조량조，매조각40례。급여관찰조환자복강경점련성장경조송해술，대조조환자진행전통개복송해술。대비관찰량조환자적술후주원시간、회복장연동시간、수술시간、술후진통솔이급경조재발솔정황。결과관찰조환자적술후주원시간、회복장연동시간이급수술시간도명현단우대조조환자，량조지간적차이구유통계학의의（P＜0.05）。관찰조환자재술후진통솔화경조발생솔도명현저우대조조환자，량조간적차이구유통계학의（P＜0.05）。결론대우점련성장경조환자채취복강경송해술능구유효축단환자수술시간화주원시간，감소환자병발증화재경조솔，치득림상추엄운용。
ObjectiveTo study the laparoscopic surgery and conventional surgery clinical outcomes adhesive ileus.Methods 80 cases of intestinal obstruction patients were randomly divided into the observation group and the control group, 40 cases in each group. Patients of the observation group were given laparoscopic lysis intestinal obstruction, while the control group were given traditional open release surgery. Postoperative hospital stay, bowel recovery time, operative time, postoperative paln rate and the incidence of obstruction were compared between two groups of patients.Results The postoperative hospital stay, recovery time and bowel surgery time in the observation group was signiifcantly shorter than the control group. Differences between the two groups was statistically signiifcant(P<0.05). Postoperative paln rate and the incidence of obstruction in the observation group was signiifcantly lower than the control group. Differences between the two groups was statistically signiifcant(P<0.05).Conclusion Laparoscopic lysis treatment of intestinal obstruction can effectively shorten the operation time and hospital stay, reduce patient complications and re-obstruction rate, worthy of clinical use.