国际外科学杂志
國際外科學雜誌
국제외과학잡지
International Journal of Surgery
2015年
10期
664-666
,共3页
姚寒晖%荚卫东%崔成龙%吴杨
姚寒暉%莢衛東%崔成龍%吳楊
요한휘%협위동%최성룡%오양
腹腔镜检查%肠梗阻%可行性研究%治疗结果
腹腔鏡檢查%腸梗阻%可行性研究%治療結果
복강경검사%장경조%가행성연구%치료결과
Laparoscopy%Intestinal obstruction%Feasibility studies%Treatment outcome
目的 探讨腹腔镜手术治疗急性粘连性肠梗阻的安全可行性及临床疗效.方法 本研究选取2012年8月-2014年8月期间,采用腹腔镜手术对47例急性粘连性肠梗阻实施手术治疗的患者.结果 41例患者腹腔镜手术顺利完成,成功实施了肠粘连松解术;3例因严重粘连,无法分离而中转开腹;1例因术中出血而中转开腹;2例因术中探查发现肿瘤,开腹行肿瘤切除术;无严重并发症及死亡病例.结论 腹腔镜手术治疗急性粘连性肠梗阻安全可行,并且具有创伤小、恢复快等优点,尤其在腹腔探查中优势显著,值得在临床中进一步推广.
目的 探討腹腔鏡手術治療急性粘連性腸梗阻的安全可行性及臨床療效.方法 本研究選取2012年8月-2014年8月期間,採用腹腔鏡手術對47例急性粘連性腸梗阻實施手術治療的患者.結果 41例患者腹腔鏡手術順利完成,成功實施瞭腸粘連鬆解術;3例因嚴重粘連,無法分離而中轉開腹;1例因術中齣血而中轉開腹;2例因術中探查髮現腫瘤,開腹行腫瘤切除術;無嚴重併髮癥及死亡病例.結論 腹腔鏡手術治療急性粘連性腸梗阻安全可行,併且具有創傷小、恢複快等優點,尤其在腹腔探查中優勢顯著,值得在臨床中進一步推廣.
목적 탐토복강경수술치료급성점련성장경조적안전가행성급림상료효.방법 본연구선취2012년8월-2014년8월기간,채용복강경수술대47례급성점련성장경조실시수술치료적환자.결과 41례환자복강경수술순리완성,성공실시료장점련송해술;3례인엄중점련,무법분리이중전개복;1례인술중출혈이중전개복;2례인술중탐사발현종류,개복행종류절제술;무엄중병발증급사망병례.결론 복강경수술치료급성점련성장경조안전가행,병차구유창상소、회복쾌등우점,우기재복강탐사중우세현저,치득재림상중진일보추엄.
Objective To investigate the feasibility,safety and clinical efficacy of acute iutestinal obstruction by laparoscopic surgery.Methods We selected 47 patients with acute intestinal obstruction implementation from August 2012 to August 2014,and used laparoscopic surgery on these cases.Results Forty-one cases of laparoscopic surgery were successfully completed,the successful implementation of the enterolysis;due to severe adhesions,laparotomy cannot be separated in three cases;two cases due to intraoperative exploration found in the tumor;one case due to surgery bleeding and laparotomy cannot be completed;no cases with serious complications and no deaths.Conclusion Laparoscopic surgery for acute intestinal obstruction is feasible and safe,with less trauma,quicker recovery,especial ly in the abdominal exploration in significant advantage,it is worthy of further promotion in clinic.
