腹腔镜在肠粘连松解术中的应用研究.docVIP

精品论文 参考文献 腹腔镜在肠粘连松解术中的应用研究 [摘 要]目的：探究腹腔镜下肠粘连松解术治疗肠粘连梗阻的临床效果。方法：选自我院2013年4月--2015年3月期间所收治的50例肠粘连梗阻患者，依据入选顺序单双号将其分为实验组与参照组，各25例。实验组患者采用腹腔镜下肠粘连松解术疗法，参照组患者采用传统开腹手术疗法，比较两组患者的手术时间、肠功能恢复时间、术后感染以及粘连复发等情况。结果：实验组患者的手术时间、术后下床时间、肠功能恢复时间以及住院时间均短于参照组，术后感染率与粘连复发率均低于参照组，两组疗效比较差异显著。结论：腹腔镜下肠粘连松懈术治疗肠粘连梗阻效果显著，具有创伤小、安全性高以及复发率低等优势，值得临床上广泛推广及应用。 [关键词]腹腔镜 肠粘连梗阻 松懈术 肠功能 感染 复发率 DOI:10.3760/cma.j.issn.0376-2491.2016.04.005 作者单位：435003，湖北黄石，湖北理工学院第二附属医院；435100，湖北大治市，大冶市人民医院。 The application of laparoscopic surgical in intestinal adhesion release Zou Zhiyi Abstract:Objective: to explore the treatment of laparoscopic intestinal adhesion to ease bowel adhesion obstruction clinical effect. Methods: to choose self court during August 2013 - July 2015treated 50 cases of patients with intestinal adhesion obstruction, according to the selected order. It will be divided into the experimental group and control group, 25 cases each. Experimental group were treated by laparoscopic intestinal adhesion release art therapy, the control group were treated by traditional open operation therapy, compared two groups of patients with surgical time, bowel function recovery time and postoperative recurrence of infection and adhesion, and so on and so forth. Results: the patients with operation time, postoperative bed time, bowel function recovery time and hospital stay were shorter than control group, postoperative infection and adhesion recurrence rates are lower than the control group, two groups have significant curative effect comparison. Conclusion: laparoscopic treatment of intestinal adhesion lax intestinal adhesion obstruction effect is remarkable, has small trauma, high safety and low recurrence rate advantages, worthy of clinical application and spread. Keywords:laparoscopic; Intestinal adhesion obstruction; Lax; Bowel function; Infection; The recurrence rate 肠粘连多是由于腹部手术、腹腔内炎症以及创伤等引起肠壁水肿渗出，逐渐形成机械性与动力性并存的肠粘连梗阻[1]。粘连肠梗阻是腹部外科手术后常见的并发症之一，对患者的疾病康复产生一定的不利影响。随着医疗技术的快速发展，腹腔镜手术因其创伤小、恢复快等优势被广泛用