CAJ | 학술논문

目的：分析腹腔镜与开腹手术治疗成人肠套叠的临床疗效。方法搜集本院肛肠科2014年2月～2015年2月诊治的47例肠套叠患者，根据手术方式不同分为两组，甲组采用腹腔镜手术，乙组采用开腹手术，对比临床治疗效果。结果（1）甲组患者的治疗有效率91.7%（22/24）高于乙组82.6%（19/23），P<0.05；（2）两组患者的治疗效果对比研究，甲组患者的手术时间、术中出血量、肠道通气时间和住院时间短于乙组， P<0.05；（3）对比两组研究结果，甲组患者并发症的发生率8.3%和复发率4.2%低于乙组21.7%、13.0%，P<0.05。结论腹腔镜治疗成人肠套叠的临床疗效优于开腹手术，可以有效提高患者的治疗有效率，降低并发症的发生率和复发率，临床价值高。
목적：분석복강경여개복수술치료성인장투첩적림상료효。방법수집본원항장과2014년2월～2015년2월진치적47례장투첩환자，근거수술방식불동분위량조，갑조채용복강경수술，을조채용개복수술，대비림상치료효과。결과（1）갑조환자적치료유효솔91.7%（22/24）고우을조82.6%（19/23），P<0.05；（2）량조환자적치료효과대비연구，갑조환자적수술시간、술중출혈량、장도통기시간화주원시간단우을조， P<0.05；（3）대비량조연구결과，갑조환자병발증적발생솔8.3%화복발솔4.2%저우을조21.7%、13.0%，P<0.05。결론복강경치료성인장투첩적림상료효우우개복수술，가이유효제고환자적치료유효솔，강저병발증적발생솔화복발솔，림상개치고。
Objective Clinical effects of laparoscopic surgery treatment and laparotomy surgery treatment of adult intussusception are to be studied. Methods Chose 47 patients of adult intussusception who are treated in anorectal department of hospital from February 2014 to February 2015 and separate them into two groups according to different treatment methods,patients in group A are given laparoscopic surgery treatment and patients in group B are given laparotomy surgery treatment,then compare patients’treatment effects between two groups. Results(1)treatment efficacy in group A is 91.7%(22/24), which is much higher than 82.6%(19/23)in group B,P< 0.05.(2)patients’operation time and operation hemorrhage,intestinal exhaust time and hospitalization days in group A are much shorter than counterparts in group B,P<0.05.(3)complication incidence and il ness reoccurrence in group A are 8.3%and 4.2%respectively,which are quite less than counterparts of 21.7%and 13.0%in group B,P<0.05. Conclusion Laparoscopic surgery is of efficacy in treatment of adult intussusception,it is conducive to increasing treatment efficacy,reducing complication incidence and il ness reoccurrence,thus,such a treatment method is of clinical application value.